TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JOHN FOLSOM...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(2) JOHN HALL...................................................................... TREASURER	5.00 ................. 0.00	X	X		0	0
(3) SALLY B LEIGHTON...................................................................... SECRETARY	5.00 ................. 0.00	X	X		0	0
(4) ROB R ROTH MD...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(5) L DALE SOWELL...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(6) JANINE TERRANO...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(7) DEEDRA WALKEY...................................................................... VICE CHAIR	5.00 ................. 0.00	X	X		0	0
(8) JOHN WIBORG...................................................................... CHAIR	5.00 ................. 0.00	X	X		0	0
(9) ROBERT A YOST...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(10) WILLIAM ROBERTSON...................................................................... PRESIDENT & CEO, INTERIM CFO	56.00 ................. 4.00		X		1,590,839	556,972
(11) ANNA LOOMIS...................................................................... CFO, PART YEAR	56.00 ................. 4.00		X		742,199	80,857
(12) FLORENCE CHANG...................................................................... EXECUTIVE VICE PRESIDENT	60.00 ................. 0.00			X	1,176,346	246,522
(13) DAVID CARLSON...................................................................... SRVP,PROVIDER ENTERPRISES	58.00 ................. 2.00			X	706,275	117,723
(14) DAVID O'BRIEN...................................................................... SRVP/CHIEF EXEC-EAST. WA	60.00 ................. 0.00			X	898,229	27,953
(15) LINDA CHEN...................................................................... PRES. MARY BRIDGE,PART YEAR	60.00 ................. 0.00			X	818,079	3,357
(16) CHRISTI MCCARREN...................................................................... SRVP,RETAIL HEALTH&COMMUNI	58.00 ................. 2.00			X	575,968	26,532
(17) TIM BRICKER...................................................................... SRVP/CHIEF EXEC-S. SOUND	60.00 ................. 0.00			X	789,962	122,977

(A) Name and business address	(B) Description of services	(C) Compensation
TRAVEL NURSE ACROSS AMERICA LLC 5020 NORTHSHORE DR N LITTLE ROCK,AZ72118	STAFFING	23,430,245
TACOMA ANESTHESIA ASSOCIATES INC PS 3633 PACIFIC AVE204 TACOMA,WA98418	MEDICAL	10,431,093
SOUTH SOUND INPATIENT PHYSICIANS PLLC POBOX 742936 LOS ANGELES,CA90074	MEDICAL	9,824,142
NAVITUS HEALTH SOLUTIONS LLC 2601 W BELTLINE HWY MADISON,WI53713	PHARMACY BENEFITS MANAGEMENT	8,297,720
TRAUMA TRUST POBOX 5299 TACOMA,WA98415	MEDICAL	8,228,354
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 285

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization MULTICARE HEALTH SYSTEM

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization MULTICARE HEALTH SYSTEM		Employer identification number 91-1352172

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization MULTICARE HEALTH SYSTEM			Employer identification number 91-1352172
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

329,090

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

329,090

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	LINE 1(G) - PAYMENTS TO LOBBYING FIRMS (INDEPENDENT CONTRACTORS) TO ACT AS OUR LIAISON WITH STATE AND FEDERAL GOVERNMENTS ON HEALTH CARE ISSUES AND THE PORTION OF MEMBERSHIP DUES PAID TO HOSPITAL ASSOCIATIONS WHICH IS USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	109,702,012		109,702,012
b	Buildings ....	1,868,000,252	677,068,427	1,190,931,825
c	Leasehold improvements	97,933,964	65,006,211	32,927,753
d	Equipment ....	925,651,150	677,351,022	248,300,128
e	Other .....	127,262,139		127,262,139
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,709,123,857

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) HEDGE FUNDS-PRIVATE INVESTMENTS FUNDS	204,633,000	F
(B) LIMITED PARTNERSHIPS-PRIVATE EQUITY	104,405,000	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	309,038,000

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) OTHER ASSETS				236,743,956
(2) EXECUTIVE CAA,TOP HAT 457 (B) & ACCRUED PENSION ASSET				76,392,773
(3) MARK TO MARKET BASIS SWAP				1,403,389
(4) BONDS HELD IN TRUST				423,728
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				314,963,846

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
ACCRUED INTEREST PAYABLE	16,363,526
DUE TO AFFILIATES	79,642,772
ACCRUED PENSION AND MALPRACTICE LIABILITY	127,406,125
INTEREST RATE SWAP	45,832,668
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	269,245,091
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM FOOTNOTE READS: "FINANCIAL ACCOUNTING STANDARD BOARD (FASB) ASC SUBTOPIC 740 10, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN MHS' CONSOLIDATED FINANCIAL STATEMENTS. THIS TOPIC ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD AT THE EFFECTIVE DATE MAY BE RECOGNIZED OR CONTINUE TO BE RECOGNIZED UPON ADOPTION. IN ADDITION, THIS TOPIC PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. ADOPTION OF THIS TOPIC DID NOT HAVE A SIGNIFICANT IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS OF MHS. OTHER THAN MEDIS, INC., WHICH IS A TAXABLE CORPORATION, ALL THE OTHER ENTITIES HAVE OBTAINED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE THAT THEY ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME."

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 30000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 50000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			47,658,740		47,658,740	1.770 %
b	Medicaid (from Worksheet 3, column a) . . . . .			741,719,000	528,053,000	213,666,000	7.910 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			789,377,740	528,053,000	261,324,740	9.680 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	374	95,005	14,366,558	891,462	13,475,096	0.500 %
f	Health professions education (from Worksheet 5) . . .	9	219	17,310,238	553,122	16,757,116	0.620 %
g	Subsidized health services (from Worksheet 6) . . . .	29	67,781	64,787,065	30,502,987	34,284,078	1.270 %
h	Research (from Worksheet 7) .	1	1	855,930	189,227	666,703	0.020 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			1,334,257	0	1,334,257	0.050 %
j	Total. Other Benefits . .	413	163,006	98,654,048	32,136,798	66,517,250	2.460 %
k	Total. Add lines 7d and 7j .	413	163,006	888,031,788	560,189,798	327,841,990	12.140 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	2	532	991,364	55,106	936,258	0.030 %
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	29	5,190,146	1,062,411	24,636	1,037,775	0.040 %
8	Workforce development
9	Other
10	Total	31	5,190,678	2,053,775	79,742	1,974,033	0.070 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

53,676,629

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

1,634,000

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

392,107,730

Enter Medicare allowable costs of care relating to payments on line 5.....

454,907,323

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-62,799,593

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?8Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								Facility reporting group
1	MULTICARE TACOMA GENERAL HOSPITAL (TG) 315 MARTIN LUTHER KING JR WAY TACOMA,WA98405 WWW.MULTICARE.ORG/TACOMA-GENERAL-HOSPI 00000176	X	X		X	X	X	A
2	MULTICARE GOOD SAMARITAN HOSPITAL (GSH) 401 15TH AVE SE PUYALLUP,WA98372 WWW.MULTICARE.ORG/GOOD-SAMARITAN-HOSPI 00000081	X	X		X		X	A
3	MULTICARE DEACONESS HOSPITAL (DEAC) 800 W 5TH AVENUE SPOKANE,WA99204 WWW.MULTICARE.ORG/DEACONESS-HOSPITAL/ 60769397	X	X				X	B
4	MULTICARE AUBURN MEDICAL CENTER (AUB) 202 NORTH DIVISION STREET AUBURN,WA98001 WWW.MULTICARE.ORG/AUBURN-MEDICAL-CENTE 60311052	X	X				X	A
5	MARY BRIDGE CHILDREN'S HOSPITAL (MBRIDGE) 315 MARTIN LUTHER KING JR WAY TACOMA,WA98405 WWW.MULTICARE.ORG/MARY-BRIDGE-HOSPITAL 00000175	X	X	X	X		X	A
6	MULTICARE ALLENMORE HOSPITAL (ALLENMORE) 1901 SOUTH UNION TACOMA,WA98411 WWW.MULTICARE.ORG/ALLENMORE-HOSPITAL/ 00000176	X	X				X	A
7	MULTICARE VALLEY HOSPITAL (VALLEY) 12606 EAST MISSION AVE SPOKANE VALLEY,WA99216 WWW.MULTICARE.ORG/VALLEY-HOSPITAL/ 60769398	X	X				X	B
8	MULTICARE COVINGTON HOSPITAL (COV) 17700 SE 272ND ST COVINGTON,WA98042 HTTPS://WWW.MULTICARE.ORG/COVINGTON-ME 60803817	X	X				X	B

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/

The FAP application form was widely available on a website (list url):

HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Yes

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000% and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/

The FAP application form was widely available on a website (list url):

HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: MULTICARE TACOMA GENERAL HOSPITAL (TG), - FACILITY 4: MULTICARE AUBURN MEDICAL CENTER (AUB), - FACILITY 6: MULTICARE ALLENMORE HOSPITAL (ALLENMORE), - FACILITY 2: MULTICARE GOOD SAMARITAN HOSPITAL (GSH), - FACILITY 5: MARY BRIDGE CHILDREN'S HOSPITAL (M.BRIDGE)
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLENM.,M.BRIDGE PART V, SECTION B, LINE 5:	COMMUNITY ENGAGEMENT DATA METHODS: MULTICARE HEALTH SYSTEM (MULTICARE) WORKED WITH TACOMA-PIERCE COUNTY HEALTH DEPARTMENT AND PUBLIC HEALTH SEATTLE-KING COUNTY TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ITS HOSPITAL SERVICE AREAS, FEATURING INPUT FROM COMMUNITY LEADERS AND RESIDENTS REPRESENTING MULTIPLE SECTORS AND POPULATION GROUPS. IT INCLUDES PRIMARY DATA GATHERED FROM A COMMUNITY SURVEY, WORKSHOPS, AND STAKEHOLDER INTERVIEWS, IN ADDITION TO INFORMATION COLLECTED FROM SECONDARY QUANTITATIVE SOURCES. COMMUNITY SURVEY:MORE THAN 700 PIERCE COUNTY AND SOUTH KING COUNTY RESIDENTS WERE SURVEYED ABOUT THEIR COMMUNITY HEALTH NEEDS. THE SURVEY, CONDUCTED IN 2015, SOUGHT RESIDENTS' VIEWS ON HEALTH STATUS, SOCIAL CONNECTEDNESS, HEALTHCARE, AND OTHER ISSUES THAT IMPACT QUALITY OF LIFE. COMMUNITY ENGAGEMENT PROCESS:TO COMPLEMENT THE COMMUNITY SURVEY, A COMMUNITY ENGAGEMENT PROCESS FURTHER SOLICITED INPUT FROM THE PUBLIC. THIS PROCESS INCLUDED THREE STAGES: CONDUCTING KEY LEADER INTERVIEWS, NOTING OVERARCHING THEMES; HOLDING COMMUNITY WORKSHOPS, DOCUMENTING MOST IMPORTANT ISSUES PER RESIDENTS; INVITING KEY STAKEHOLDERS TO REFLECT ON AND PRIORITIZE HEALTH NEEDS FOR EACH MULTICARE HOSPITAL.GROUPS WERE FACILITATED BY THE HEALTH DEPARTMENT AND MULTICARE HEALTH SYSTEM. KEY LEADER INTERVIEWS:A SERIES OF INTERVIEWS WERE HELD TO SOLICIT INPUT ON THE STRENGTHS, ASSETS, RESOURCES, AND HEALTH PRIORITIES IN THE MULTICARE HOSPITAL SERVICE AREAS. SEVEN INDIVIDUAL INTERVIEWS WERE CONDUCTED IN PIERCE COUNTY, AND IN KING COUNTY, A TOTAL OF 11 COALITIONS AND 99 INDIVIDUALS OR KEY INFORMANTS PROVIDED INFORMATION. LEADERS REPRESENTED MULTIPLE SECTORS, INCLUDING LOCAL GOVERNMENT, EDUCATION, BUSINESS, SOCIAL AND HEALTH SERVICES, AND THE MILITARY. MANY OF THESE LEADERS REPRESENTED COMMUNITY ORGANIZATIONS THAT SERVE LOW-INCOME AND MINORITY RESIDENTS. QUESTIONS ASKED INCLUDED:1. WHAT ARE THE MAIN CONCERNS YOU OR YOUR ORGANIZATION HAS ABOUT THE HEALTH OF RESIDENTS RIGHT NOW? HOW ARE YOU [THE ORGANIZATION] INVOLVED IN ADDRESSING THESE CONCERNS? 2. WHAT ARE THE PEOPLE, PLACES, AND THINGS THAT MAKE YOUR COMMUNITY HEALTHY, SAFE, AND STRONG? PLEASE TELL US WHY THESE PEOPLE, PLACES, AND THINGS ARE IMPORTANT. [THESE COULD INCLUDE ORGANIZATIONS, LEADERS, COALITIONS, INITIATIVES, POLICIES, OR PHYSICAL/ENVIRONMENTAL ATTRIBUTES.] 3. WHAT PROGRAMS OR PROJECTS ARE HAPPENING OR PLANNED THAT ARE MOST RELEVANT TO THE IDENTIFIED NEEDS? 4. HOW CAN HOSPITALS AND HEALTH SYSTEMS BE INVOLVED IN ADDRESSING THE ISSUES YOU HAVE IDENTIFIED? 5. WHAT ARE THE MOST SIGNIFICANT GAPS IN RESOURCES, COORDINATION, ETC. IN THIS AREA? KEY COMMUNITY LEADERS & ORGANIZATIONS INVOLVED IN THE 2016 CHNA INCLUDE:CINDAN GIZZI, COMMUNITY ASSESSMENT MANAGER, TACOMA-PIERCE COUNTY HEALTH DEPARTMENTKAREN MEYER, COMMUNITY LIAISON SPECIALIST, TACOMA-PIERCE COUNTY HEALTH DEPARTMENTINGRID PAYNE, PROJECT MANAGER, TACOMA-PIERCE COUNTY HEALTH DEPARTMENTANNIE JONES BARNES, NORTHWEST LEADERSHIP FOUNDATIONDONA PONEPINTO, UNITED WAY OF PIERCE COUNTY LYLE QUASIM, BLACK COLLECTIVEMARILEE HILL-ANDERSON, SUMNER SCHOOL DISTRICTPAT JOHNSON, MAYOR OF BUCKLEYTIFFANY SPIER, SOUTH SOUND MILITARY AND COMMUNITIES PARTNERSHIPTRACEY DETTY, TACOMA POLICE DEPARTMENTEASTSIDE HUMAN SERVICES FORUMNORTH URBAN HUMAN SERVICES ALLIANCESEATTLE HUMAN SERVICES COALITIONSOUTH KING COUNTY COUNCIL OF HUMAN SERVICESKING COUNTY TRAFFIC SAFETY TASK FORCESAFE STREETS SEATTLE/SOUTH KING COUNTYSAFE KIDS EASTSIDECENTRAL REGION EMS & TRAUMA CARE COUNCIL BEHAVIORAL HEALTH PARTNERSHIP GROUPALAN ABE, PROGRAM MANAGER - INJURY PREVENTION, KING COUNTY EMERGENCY MEDICAL SERVICESCAROL ALLEN, COORDINATOR, ACCESS TO BABY AND CHILD DENTISTRY PROGRAM, PUBLIC HEALTH-SEATTLE & KINGCOUNTYJENNIFER DEYOUNG, HEALTH REFORM ANALYST, PUBLIC HEALTH-SEATTLE & KING COUNTYTONY GOMEZ, RS, MANAGER, VIOLENCE AND INJURY PREVENTION, PUBLIC HEALTH-SEATTLE & KING COUNTYSCOTT NEAL, TOBACCO PROGRAM MANAGER, PUBLIC HEALTH-SEATTLE & KING COUNTYLISA PODELL, INTERIM HEALTH REFORM ANALYST, PUBLIC HEALTH-SEATTLE & KING COUNTYWHITNEY TAYLOR, FIREARM VIOLENCE PREVENTION/CHILD FATALITY REVIEW PROGRAM MANAGER, PUBLIC HEALTH-SEATTLE & KING COUNTYCOMMUNITY WORKSHOPS:SEVEN COMMUNITY WORKSHOPS WERE HELD THROUGHOUT PIERCE COUNTY. PARTICIPANTS WERE ASKED TO CONSIDER THE FOLLOWING QUESTIONS:1. HOW DO YOU DEFINE A HEALTHY COMMUNITY (OR NEIGHBORHOOD)? 2. WHAT DO YOU THINK ARE THE STRENGTHS AND ASSETS OF YOUR COMMUNITY? 3. WHAT DO YOU THINK MAKES IT CHALLENGING TO BE HEALTHY HERE? OR, WHAT ARE THE BARRIERS TO BEING HEALTHY? 4. WHAT DO YOU NEED TO BE HEALTHY? PARTICIPANTS AT COMMUNITY WORKSHOPS WERE DIVERSE IN TERMS OF RACE/ETHNICITY, AGE, AND SOCIOECONOMIC STATUS.INTERNAL STAKEHOLDER REVIEW MEETINGS:FINALLY, THE ASSESSMENT PROCESS INVOLVED INVITING KEY LEADERS AT MULTICARE TO REVIEW THE RESULTS OF THE PREVIOUS COMMUNITY INPUT, AS WELL AS RELEVANT HEALTH INDICATOR DATA, IN MAY OF 2016. DURING THESE MEETINGS, PHYSICIAN, NURSE, CLINIC, AND OUTPATIENT LEADERS WERE PRESENTED WITH SELECTED HEALTH PRIORITIES FOR EACH HOSPITAL, AS DETERMINED BY THE RESPECTIVE HEALTH DEPARTMENTS USING THE FOLLOWING CRITERIA:WAS A HEALTH CONCERN OR INDICATOR SIGNIFICANTLY WORSE IN THE HOSPITAL SERVICE AREA THAN IN THE STATE? WERE RELATIVELY LARGE NUMBERS OF PEOPLE IMPACTED BY A HEALTH CONCERN OR INDICATOR? WAS A HEALTH CONCERN REPEATEDLY VOICED DURING THE COMMUNITY ENGAGEMENT PORTION OF THE ASSESSMENT (E.G., SURVEY, WORKSHOPS OR INTERVIEWS)?
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLENM.,M.BRIDGE PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH MORE HOSPITAL FACILITIES, AS FOLLOWS:TACOMA GENERAL HOSPITALGOOD SAMARITAN HOSPITALAUBURN MEDICAL CENTERALLENMORE HOSPITALMARY BRIDGE CHILDREN'S HOSPITAL
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLENM.,M.BRIDGE PART V, SECTION B, LINE 6B:	THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH ORGANIZATIONS OTHER THAN THE HOSPITAL FACILITIES AS FOLLOWS:TACOMA PIERCE COUNTY HEALTH DEPARTMENTCHI FRANCISCAN HEALTH
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLENM.,M.BRIDGE PART V, SECTION B, LINE 7D:	THE CHNA IS BROADLY DISTRIBUTED TO COMMUNITY PARTNERS, WHO SHARE THESE REPORTS INTERNALLY AND EXTERNALLY; THROUGH A COMPUTER-BASED LEARNING MODULE AVAILABLE TO MULTICARE EMPLOYEES; AND THROUGH PRESENTATIONS WITH COMMUNITY GROUPS, INCLUDING LOCAL UNIVERSITIES, COMMUNITY SERVICE ORGANIZATIONS, COMMUNITY COALITIONS, REGIONAL BOARDS AND COUNCILS, HOSPITAL LEADERS, AND DEPARTMENTAL STAFF.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLENM.,M.BRIDGE PART V, SECTION B, LINE 11:	GROUP A- WE ARE ADDRESSING ALL OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE CHNA. THE TOP COMMUNITY HEALTH PRIORITIES FROM THE 2016 CHNA WERE: -ACCESS TO CARE, INCLUDING WOMEN'S HEALTH AND ORAL HEALTH CARE SERVICES, -OBESITY,-TOBACCO USE,-BEHAVIORAL HEALTH,-CHILDHOOD IMMUNIZATIONS, -CULTURAL COMPETENCY.ACCESS TO CARE - MULTICARE TACOMA GENERAL, ALLENMORE, GOOD SAMARITAN, AND AUBURN MEDICAL CENTER ARE FOCUSING THEIR ATTENTION ON ADDRESSING CARE ACCESS. MULTICARE CURRENTLY SUPPORTS CARE ACCESS THROUGH COMMUNITY PARTNERSHIPS, INCLUDING PROJECT ACCESS, WHICH PROVIDES MEDICAL AND DENTAL CARE FOR UNINSURED AND LOW-INCOME INDIVIDUALS; MEDICAL TEAMS INTERNATIONAL, WHICH OFFERS NO-COST URGENT DENTAL CARE SERVICES; AND TRINITY NEIGHBORHOOD HEALTH CLINIC, WHICH OFFERS FREE MEDICAL CARE. WE PROVIDE FINANCIAL SUPPORT FOR COMMUNITY HEALTH CARE CLINIC NETWORK, IN ADDITION TO FUNDING AND OPERATING THE COMMUNITY MEDICAL CARE CLINIC FOR CHILDREN AT MARY BRIDGE CHILDREN'S HOSPITAL AND HEALTH CENTER, AND THE TACOMA FAMILY MEDICINE CLINIC AND EAST PIERCE FAMILY PRACTICE RESIDENCY PROGRAM, WHICH PROVIDE A RANGE OF PRIMARY CARE AND OB/GYN MEDICAL SERVICES TO LOW-INCOME INDIVIDUALS. FOR THE EAST PIERCE COUNTY COMMUNITY, GOOD SAMARITAN HOSPITAL OPERATES THE CARE TRANSITIONS PROGRAM TO ASSIST IN THE TRANSITION OF CHRONICALLY ILL PATIENTS BACK TO THE COMMUNITY AFTER THEIR HOSPITAL STAY. PATIENTS HAVE 24 HOURS A DAY ACCESS TO MYCHART, AN ELECTRONIC PATIENT HEALTH RECORD SYSTEM, WHERE THEY CAN VIEW THEIR MEDICAL RECORDS, TEST RESULTS, AND UPCOMING APPOINTMENTS. THEY ARE ALSO ABLE TO COMMUNICATE DIRECTLY WITH THEIR HEALTH CARE PROVIDER AND MAKE AN APPOINTMENT AT A CLINIC LOCATED CLOSE TO THEIR HOME. COMMUNITY-BASED MULTICARE SERVICES INCLUDE NUTRITION CONSULTATION, WEIGHT MANAGEMENT, SPORTS NUTRITION, COMMUNITY OUTREACH, TOBACCO CESSATION PROGRAM, MOBILE IMMUNIZATION CLINICS, ADULT DAY HEALTH, PARENT PARTNERSHIP PROGRAMS FOR FAMILIES AT RISK, WIC, MOBILE MENTAL HEALTH OUTREACH SERVICES, PERINATAL OUTREACH SERVICES, SUPPORT GROUP FOR LGBT YOUTH, SENIOR WELLNESS AND CORPORATE WELLNESS PROGRAMS. THE FOLLOWING STRATEGIES AND ACTIVITIES WILL BE EMPLOYED TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR ALL MEMBERS OF THE COMMUNITY:WOMEN'S HEALTH- 1. EXPLORE THE DEVELOPMENT OF A COMMUNITY RESOURCE TOOLKIT THAT FOCUSES ON HPV PREVENTION AND SCREENING. 2. EXPLORE PROMOTING WOMEN'S HEALTH SERVICES AT COMMUNITY OUTREACH EVENTS. 3. PROMOTE BREAST HEALTH IN PARTNERSHIP WITH THE CAROL MILGARD BREAST CENTER (CMBC), THROUGH: EXPLORING THE USE OF MOBILE MAMMOGRAPHY CLINICS IN HIGH-NEEDS AREAS, INCLUDING LOCAL TRIBES; AND SUPPORTING NO-COST MAMMOGRAPHY SCREENINGS. 4. REACH NEWLY ELIGIBLE MEDICAID AND APPLE HEALTH ENROLLEES AT SECOND-ANNUAL CMBC COORDINATED CARE EVENT. 5. EXPLORE SUPPORTING FUTURE FOCUS GROUPS DEDICATED TO ASSESSING BARRIERS AND OPPORTUNITIES FOR BREAST HEALTH IN LATINA COMMUNITIES. ORAL HEALTH- 1. CONTINUE TO SUPPORT MEDICAL TEAMS INTERNATIONAL'S MOBILE DENTAL PROGRAM THROUGH REFERRALS AND SHARED MARKETING EFFORTS. 2. EXPLORE INCREASED SHARED MARKETING EFFORTS TO PROMOTE LINDQUIST DENTAL CLINIC FOR CHILDREN (LDCC) THAT MAY INCLUDE SOCIAL MEDIA, CO-LINKING WEBSITES, MATERIALS, AND PRESENCE AT COMMUNITY EVENTS. 3. EXPLORE THE CREATION OF AN EPIC SMARTPHRASE TO REFER YOUTH IN NEED TO LDCC. 4. EXPLORE PARTNERSHIPS BETWEEN LDCC AND MULTICARE WIC CLINICS, PRENATAL AND PRIMARY CARE, AND OTHER DEPARTMENTS AND PROGRAMS.OBESITY - ALL OF MULTICARE'S HOSPITALS WILL CONTINUE TO ADDRESS THE GROWING PROBLEM OF CHILDHOOD AND ADULT OBESITY. MULTICARE PARTNERS WITH COMMUNITY ORGANIZATIONS SUCH AS FIRST 5 FUNDAMENTALS TO SUPPORT HEALTHY CHILDREN AND FAMILIES; COMMUNITIES IN SCHOOLS OF TACOMA AND PUYALLUP, WHICH WORKS TO IMPROVE PHYSICAL HEALTH OUTCOMES FOR STUDENTS; AND PACIFIC LUTHERAN UNIVERSITY FOUNDATION TEAMS PROGRAM, WHICH SUPPORTS HEALTHY LIFESTYLES FOR SENIORS. THE FOLLOWING STRATEGIES AND ACTIVITIES WILL BE IMPLEMENTED: 1. PROMOTE COMMUNITY AWARENESS AND UNDERSTANDING OF THE READY, SET, GO! 5210 (RSG! 5210) PROGRAM AND MESSAGE. 2. INCREASE COLLABORATION WITH COMMUNITY PARTNERS ON PROGRAMS AND POLICIES TO IMPROVE THE HEALTH OF OUR COMMUNITY. 3. SURVEILLANCE OF PARTICIPATION AT COMMUNITY PROGRAMS, CLASSES, AND EVENTS, INCLUDING: THE WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM AND CLASSES; EMPOWERING WOMEN FOR WELLNESS; FAMILY WELLNESS WORKSHOPS; POWERCOOK CLASSES; AND OTHER RELATED COMMUNITY EVENTS AND WORKSHOPS. 4. PROMOTE WEIGHT MANAGEMENT PROGRAMS AND SERVICES. 5. SEEK GRANTS LIKE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION (SNAP-ED) TO PROVIDE NUTRITION EDUCATION AND PROGRAMMING TO SCHOOLS, THE WIC PROGRAM AND FOOD BANK CLIENTS. 6. INCREASE KNOWLEDGE AND BEST PRACTICE EDUCATION AROUND THE BENEFITS OF BREASTFEEDING. 7. INCREASE ACCESS TO HEALTHY FOOD AT WORKSITES. 8. INCREASE ACCESS TO AND PROMOTION OF PHYSICAL ACTIVITY AMONG MULTICARE EMPLOYEES AND THEIR FAMILIES.TOBACCO USE - ALL MULTICARE HOSPITALS WILL WORK TO INCREASE THE PERCENTAGE OF ADULTS WHO ARE TOBACCO-FREE THROUGH THE FOLLOWING STRATEGIES AND ACTIVITIES:1. PROMOTE ACCESS TO TOBACCO CESSATION RESOURCES AND SUPPORT PROGRAMS. 2. PROMOTE PARTNERSHIPS WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT. 3. PROMOTE INSURANCE-COVERED PHARMACOTHERAPY AND/OR FREE OR LOW-COST CESSATION PROGRAMS FOR HOSPITAL EMPLOYEES. 4. CONTINUE TO SUPPORT THE MULTICARE TOBACCO-FREE POLICY FOR ALL EMPLOYEES AND FACILITIES. BEHAVIORAL HEALTH - ALL MULTICARE HOSPITALS WILL FOCUS ON IMPROVING BEHAVIORAL HEALTH OUTCOMES. MULTICARE PARTNERS WITH COMMUNITY ORGANIZATIONS SUCH AS THE KOREAN WOMEN'S ASSOCIATION, WHICH PROVIDES SERVICES TO ADVANCE MINORITY MENTAL HEALTH, AND COMMUNITIES IN SCHOOLS OF PUYALLUP AND TACOMA, WHICH WORKS TO IMPROVE BEHAVIORAL HEALTH FOR CHILDREN. MULTICARE WILL FOCUS ON THE FOLLOWING STRATEGIES AND ACTIVITIES: 1. INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. 2. PROMOTE INTEGRATION OF PHYSICAL AND BEHAVIORAL HEALTH CARE. 2. INTEGRATE CHEMICAL DEPENDENCY TREATMENT INTO THE MEDICAL CARE SETTING. 3. EXPAND CAPACITY TO PROVIDE CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT. 4. FOCUS ON HIGH-RISK AND HIGH UTILIZERS OF HEALTH CARE SERVICES. 5. INCREASE COMMUNITY CAPACITY TO PROVIDE INPATIENT PSYCHIATRIC SERVICES.CHILDHOOD IMMUNIZATIONS - GOOD SAMARITAN HOSPITAL, MARY BRIDGE CHILDREN'S HOSPITAL, AND AUBURN MEDICAL CENTER WILL FOCUS ON ENSURING THAT ALL KIDS RECEIVE THE RECOMMENDED SERIES OF CHILDHOOD IMMUNIZATIONS, THROUGH THE FOLLOWING STRATEGIES: 1. SUPPORT AND PROMOTE ACCESS TO MULTICARE MARY BRIDGE IMMUNIZATION CLINICS. 2. PROMOTE PARTNERSHIPS WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT. 3. CONTINUE TO PROMOTE THE USE OF THE WASHINGTON STATE IMMUNIZATION INFORMATION SYSTEM (IIS).CULTURAL COMPETENCY - ALL MULTICARE HOSPITALS WILL FOCUS ON PROVIDING CULTURALLY COMPETENT HEALTH CARE TO ALL MEMBERS OF THE COMMUNITY. MULTICARE VALUES CULTURAL DIVERSITY. WE DELIVER EQUITABLE CARE TO ALL PATIENTS, REGARDLESS OF ETHNICITY, RACE, DISABILITY, OR SOCIOECONOMIC STATUS. BECAUSE LANGUAGE CAN SERVE AS A BARRIER FOR SOME PEOPLE TO ACCESS HEALTH CARE SERVICES, WE PROVIDE INTERPRETERS FOR A LARGE NUMBER OF FOREIGN LANGUAGES, AS WELL AS TELECOMMUNICATIONS DEVICES TO HELP HEARING IMPAIRED PATIENTS. IN ADDITION, MANY PATIENT MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES. WE CONTINUALLY ASSESS LANGUAGE AND COMMUNICATION NEEDS. FREE HEALTH SCREENINGS AND RESOURCES AND YOUTH SPORTS PHYSICALS ARE PROVIDED IN THE COMMUNITY, TARGETING LOW-INCOME, UNDERSERVED POPULATIONS. IN ADDITION, MULTICARE PARTNERS WITH BOTH THE PIERCE COUNTY AIDS FOUNDATION AND OASIS YOUTH CENTER/RAINBOW CENTER TO IMPROVE LGBT PATIENT EXPERIENCES. MULTICARE WILL FOCUS ON THE FOLLOWING STRATEGIES TO IMPROVE CULTURAL COMPETENCY: 1. PROMOTE CULTURAL DIVERSITY AND HEALTH EQUITY AWARENESS AMONG MULTICARE STAFF. 2. INCREASE ACCESS TO INTERPRETER SERVICES. 3. CONTINUE TO PROMOTE HEALTH EQUITY COMMUNITY PARTNERSHIPS. 4. CONTINUE TO PROVIDE OUTREACH SERVICES TO ETHNIC MINORITY AND LOW-INCOME COMMUNITIES.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLENM.,M.BRIDGE PART V, SECTION B, LINE 16J:	MULTICARE'S TACOMA GENERAL, GOOD SAMARITAN, AUBURN, ALLENMORE AND MARY BRIDGE HOSPITALS:THE POLICY IS POSTED ON THE WA STATE - DEPARTMENT OF HEALTH WEBSITE. THE HOSPITAL'S BILLING INVOICES INCLUDE REFERENCES TO WHERE AND HOW TO CONTACT SOMEONE TO OBTAIN A COPY OF THE FINANCIAL ASSISTANCE POLICY.LINE 16ITHE FAP AND THE PLAIN LANGUAGE SUMMARY ARE TRANSLATED IN THE MULTICARE PATIENT GUIDE IN 19 LANGUAGES AND CAN BE FOUND AT: HTTPS://WWW.MULTICARE.ORG/FOR-PATIENTS/.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 7: MULTICARE VALLEY HOSPITAL (VALLEY), - FACILITY 8: MULTICARE COVINGTON HOSPITAL (COV), - FACILITY 3: MULTICARE DEACONESS HOSPITAL (DEAC)
GROUP B-FACILITY 3 -- DEACONESS,VALLEY, COVINGTON PART V, SECTION B, LINE 2:	MULTICARE DEACONESS AND VALLEY HOSPITALS, PART OF A FORMER FOR-PROFIT ORGANIZATION, WERE ACQUIRED BY MULTICARE HEALTH SYSTEM (MHS), A TAX-EXEMPT ENTITY, ON JULY 1ST, 2017. AFTER DEACONESS AND VALLEY HOSPITALS WERE ACQUIRED, EFFORTS WERE MADE TO ALIGN WITH MHS'S FINANCIAL ASSISTANCE POLICIES. THE NEWLY ACQUIRED HOSPITALS ADOPTED THE FINANCIAL ASSISTANCE APPLICATIONS AND DETERMINED ELIGIBILITY FOR FINANCIAL ASSISTANCE AS 150% OF FPG FOR FREE CARE AND 300% OF FPG FOR DISCOUNTED CARE.SINCE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS NOT A REQUIREMENT FOR THE FOR-PROFIT HOSPITALS, THE TWO HOSPITALS DID NOT HAVE ONE IN PLACE AT THE TIME OF THE ACQUISITION. FROM 2017 - 2019 THE TWO HOSPITALS ARE ALIGNING THEIR PRACTICES WITH MULTICARE HEALTH SYSTEM'S AND WILL CONDUCT A CHNA FOR THE AREAS THEY SERVE, SPOKANE AND EASTERN WA, TO BE PUBLISHED BY DECEMBER 31ST, 2019.MULTICARE COVINGTON HOSPITAL (A 58-BED HOSPITAL) OPENED ON 04/23/2018. AS PART OF THE MULTICARE HEALTH SYSTEM IT HAS THE SAME FINANCIAL ASSISTANCE POLICY, APPLICATIONS, THRESHOLDS AND PROCESSES LIKE THE OTHER HOSPITALS IN THE HEALTHCARE SYSTEM SINCE ITS' INCEPTION.MULTICARE COVINGTON HOSPITAL CONDUCTS CHNA FOR THE AREA IT SERVES, SOUTHERN KING COUNTY, TO BE ISSUED BY DECEMBER 31ST, 2019.
GROUP B-FACILITY 3 -- DEACONESS,VALLEY, COVINGTON PART V, SECTION B, LINE 11:	GROUP B- INLAND NORTHWEST (INLAND NW) HOSPITALS HAVE NO PRIOR CHNA, AND THEREFORE ARE NOT ADDRESSING COMMUNITY HEALTH PRIORITIES AS LAID OUT BY THE 2016 CHNA. INLAND NW WILL COMPLETE THE 2019 CHNA AND IMPLEMENTATION STRATEGIES.
GROUP B-FACILITY 3 -- DEACONESS,VALLEY, COVINGTON PART V, SECTION B, LINE 16J:	MULTICARE'S DEACONESS, VALLEY AND COVINGTON HOSPITALS:THE POLICY IS POSTED ON THE WA STATE - DEPARTMENT OF HEALTH WEBSITE. THE HOSPITAL'S BILLING INVOICES INCLUDE REFERENCES TO WHERE AND HOW TO CONTACT SOMEONE TO OBTAIN A COPY OF THE FINANCIAL ASSISTANCE POLICY.LINE 16ITHE FAP AND THE PLAIN LANGUAGE SUMMARY ARE TRANSLATED IN THE MULTICARE PATIENT GUIDE IN 19 LANGUAGES AND CAN BE FOUND AT: HTTPS://WWW.MULTICARE.ORG/FOR-PATIENTS/.
SCHEDULE H, PART V, SECTION C, LINE 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?89
Name and address		Type of Facility (describe)
1	1 - COVINGTON AMBULATORY SURGERY CENTER &UCC 17700 SE 272 STREET COVINGTON,WA98042	OP SURGERY, RX, LAB, URGENT CARE
2	2 - AUBURN LAB 735 12TH STREET SE AUBURN,WA98002	LAB TESTING
3	3 - KENT LAB 222 STATE AVE NORTH KENT,WA98031	LAB TESTING
4	4 - CEDAR MEDICAL LAB 1901 SOUTH CEDAR STREET SUITE B5 TACOMA,WA98405	LAB TESTING
5	5 - GIG HARBOR MEDICAL PARK & UCC 4545 POINT FOSDICK DRIVE GIG HARBOR,WA98335	OP SURG,RX,LAB,ONCOLOGY,URGENT CARE
6	6 - AUBURN IMAGING & URGENT CARE CENTER 202 CROSS STREET SE AUBURN,WA98001	IMAGING, URGENT CARE
7	7 - AUBURN VASCULAR LAB 202 N DIVISION ST SUITE 300-301 AUBURN,WA98001	VASCULAR LAB
8	8 - TACOMA FAMILY MEDICINE 521 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
9	9 - OBSTETRICS ACCESS CLINIC 522 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
10	10 - MULTICARE OBGYN ASSOCIATES 523 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
11	11 - PODIATRY CLINIC 524 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
12	12 - MATERNAL FETAL MEDICINE 524 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
13	13 - SILVERDALE CLINIC 1780 NW MYRTLE RD SUITE G220 SILVERDALE,WA98383	OP PHYSICIAN CLINIC
14	14 - OLYMPIA CLINIC 200 LILLY ROAD NE BUILDING C OLYMPIA,WA98506	OP PHYSICIAN CLINIC
15	15 - PUYALLUP CLINIC 1803 SOUTH MERIDIAN SUITE B PUYALLUP,WA98371	OP PHYSICIAN CLINIC
16	16 - CHILDREN'S THERAPY UNIT 402 15TH AVE SE PUYALLUP,WA98372	OUTPATIENT CHILDREN'S THERAPY UNIT
17	17 - HEALTH RESOURCE CENTER 2622 S MERIDIAN PUYALLUP,WA98372	OP PHYSICIAN CLINIC
18	18 - CARDIAC REHABILITATION CENTER 16515 MERIDIAN E SUITE 200B PUYALLUP,WA98372	CARDIAC REHABILITATION
19	19 - PET-CT CLINIC 400 15TH AVE SE PUYALLUP,WA98372	IMAGING TESTING FACILITY
20	20 - MULTICARE REGIONAL CANCER CENTER AUBURN 121 N DIVISION ST STE 100 AUBURN,WA98001	OP PHYSICIAN CLINIC
21	21 - MARY BRIDGE WOMAN'S & CHILDREN'S CLINIC 3504 12TH AVE NW OLYMPIA,WA98506	OP PHYSICIAN CLINIC
22	22 - MULTICARE ORTHO&SPORTS MEDICINE MOUNTAIN 1550 S UNION AVE STE 210 TACOMA,WA98405	OP SURG,RX,LAB, CHIRO
23	23 - MULTICARE WEST TACOMA CLINIC & UCC 2209 N PEARL ST STE 100 TACOMA,WA98406	OP SURG,RX,LAB, CHIRO
24	24 - MULTICARE FREDERICKSON CLINIC 5612 176TH STREET FEDERAL WAY,WA98375	PRIMARY CARE PRACTICE
25	25 - MULTICARE KENT UCC & HEALTHWORKS 222 STATE AVE N KENT,WA98030	URGENT CARE CLINIC AND OCC MEDICINE
26	26 - MULTICARE LAKEWOOD UCC & HEALTHWORKS 5700 100TH ST SW LAKEWOOD,WA98499	URGENT CARE CLINIC AND OCC MEDICINE
27	27 - MULTICARE SPANAWAY URGENT CARE 225 176TH ST S SPANAWAY,WA98387	URGENT CARE CLINIC
28	28 - MULTICARE UNIVERSITY PLACE URGENT CARE 4310 BRIDGEPORT WAY W UNIVERSITY PLACE,WA98466	URGENT CARE CLINIC
29	29 - MARY BRIDGE PEDIATRIC UC-GIG HARBOR 4545 PT FOSDICK DR NW GIG HARBOR,WA98335	URGENT CARE CLINIC
30	30 - MARY BRIDGE PEDIATRIC UC-OLYMPIA 3504 12TH AVENUE NE OLYMPIA,WA98506	URGENT CARE CLINIC
31	31 - MULTICARE MAPLE VALLEY CLINIC 24080 SE KENT KANGLEY ROAD MAPLE VALLEY,WA98038	OP PHYSICIAN CLINIC
32	32 - MULTICARE EATONVILLE FAMILY PRACTICE 118 WASHINGTON AVE N EATONVILLE,WA98328	OP PHYSICIAN CLINIC
33	33 - MULTICARE ORTHOPEDIC SPINE AND HAND 1450 5TH ST SE STE 4200 PUYALLUP,WA98372	OP SURG,RX,LAB, CHIRO
34	34 - MULTICARE ORTHOPEDICS & SPORTS AUBURN 121 N DIVISION ST STE 310 AUBURN,WA98001	OP SURG,RX,LAB, CHIRO
35	35 - MULTICARE HEALTHWORKS KENT 6719 S 211TH AT STE 102 KENT,WA98032	OCCUPATIONAL MEDICINE CLINIC
36	36 - MULTICARE HEALTHWORKS FIFE 502 54TH AVE E FIFE,WA98424	OCCUPATIONAL MEDICINE CLINIC
37	37 - MULTICARE HEALTHWORKS TACOMA 3124 S 19TH ST TACOMA,WA98405	OCCUPATIONAL MEDICINE CLINIC
38	38 - MULTICARE GOOD SAMARITAN CANCER CENTER 1519 4TH ST SE PUYALLUP,WA98371	OP SURG,RX,LAB,ONCOLOGY,URGENT CARE
39	39 - MULTICARE BONNEY LAKE WIC CLINIC 10004 204TH AVE SE BONNEY LAKE,WA98391	WOMEN,INFANT,CHILD CLINIC
40	40 - MULTICARE INDIGO TACOMA 1812 S MILDRED ST STE H TACOMA,WA98465	URGENT CARE CLINIC
41	41 - MULTICARE INDIGO TUKWILLA 17275 SOUTHCENTER PKWY STE 160 TUKWILLA,WA98188	URGENT CARE CLINIC
42	42 - MULTICARE INDIGO MILL CREEK 800 164TH ST SE STE P MILL CREEK,WA98012	URGENT CARE CLINIC
43	43 - MULTICARE INDIGO SEATTLE 118 NE 45TH ST SUITE A SEATTLE,WA98105	URGENT CARE CLINIC
44	44 - MULTICARE INDIGO BOTHELL 24118 BOTHELL EVERETT HWY BUILDING E SU BOTHELL,WA98021	URGENT CARE CLINIC
45	45 - MULTICARE INDIGO ISSAQUAH 6140 E LAKE SAMMAMISH PKWY SE SUITE F ISSAQUAH,WA98029	URGENT CARE CLINIC
46	46 - MULTICARE INDIGO COVINGTON 27111 167TH PL SE SUITES 101 103 105 COVINGTON,WA98042	URGENT CARE CLINIC
47	47 - MULTICARE INDIGO LAKE STEVENS 809 VERNON RD LAKE STEVENS,WA98258	URGENT CARE CLINIC
48	48 - MULTICARE INDIGO OLYMPIA 345 COOPER POINT RD NW STE 10 OLYMPIA,WA98502	URGENT CARE CLINIC
49	49 - MULTICARE INDIGO PUYALLUP 15125 MERIDIAN AVE E STE 101 PUYALLUP,WA98375	URGENT CARE CLINIC
50	50 - MULTICARE INDIGO KIRKLAND 12475 TOTEM LAKE BLVD NE KIRKLAND,WA98034	URGENT CARE CLINIC
51	51 - MULTICARE INDIGO LACEY 5128 YELM HWY D5128 STE DF LACEY,WA98503	URGENT CARE CLINIC
52	52 - MULTICARE IMMEDIATE SEATTLE CAPITOL HILL 1512 BROADWAY SEATTLE,WA98122	URGENT CARE CLINIC
53	53 - MULTICARE IMMEDIATE SEATTLE QUEEN ANNE 610 - 1ST AVENUE NORTH SEATTLE,WA98109	URGENT CARE CLINIC
54	54 - MULTICARE IMMEDIATE SEATTLE CROWN HILL 9000 HOLMAN ROAD NW SUITE A1 SEATTLE,WA98117	URGENT CARE CLINIC
55	55 - MULTICARE IMMEDIATE SEATTLE-LAKE CITY 3050 NE 127TH STREET SEATTLE,WA98125	URGENT CARE CLINIC
56	56 - MULTICARE IMMEDIATE SHORELINE 20120 BALLINGER WAY NE SHORELINE,WA98155	URGENT CARE CLINIC
57	57 - MULTICARE IMMEDIATE BURIEN 15870-1ST AVE 15870 - 1ST AVENUE SOUTH BURIEN,WA98148	URGENT CARE CLINIC
58	58 - MULTICARE IMMEDIATE BURIEN 15500-1ST AVE 15500 - 1ST AVENUE SOUTH 106 BURIEN,WA98148	URGENT CARE CLINIC
59	59 - MULTICARE IMMEDIATE BELLEVUE 15600 NE 8TH STREET SUITE A-4 BELLEVUE,WA98008	URGENT CARE CLINIC
60	60 - MULTICARE IMMEDIATE KIRKLAND 13718 - 100TH AVENUE EAST KIRKLAND,WA98034	URGENT CARE CLINIC
61	61 - MULTICARE IMMEDIATE REDMOND 13131 NE 85TH STREET KIRKLAND,WA98033	URGENT CARE CLINIC
62	62 - MULTICARE IMMEDIATE BOTHELL 23131 BOTHELL EVERETT HWY BOTHELL,WA98021	URGENT CARE CLINIC
63	63 - MULTICARE IMMEDIATE LYNWOOD 4725 - 196TH STREET LYNNWOOD,WA98036	URGENT CARE CLINIC
64	64 - MULTICARE IMMEDIATE EVERETT 607 SE EVERETT MALL WAY SUITE 2 EVERETT,WA98208	URGENT CARE CLINIC
65	65 - MULTICARE IMMEDIATE POULSBO 20730 BOND ROAD NE SUITE 205 POULSBO,WA98370	URGENT CARE CLINIC
66	66 - MULTICARE INDIGO RAINIER 3820 RAINIER AVE S SEATTLE,WA98118	URGENT CARE CLINIC
67	67 - MULTICARE INDIGO POINT RUSTON 5005 RUSTON WAY TACOMA,WA98407	URGENT CARE CLINIC
68	68 - MULTICARE INDIGO FEDERAL WAY 31861 GATEWAY CENTER BLVD S FEDERAL WAY,WA98003	URGENT CARE CLINIC
69	69 - MULTICARE INDIGO SOUTH HILL 4911 SOUTH REGAL STREET SPOKANE,WA99223	URGENT CARE CLINIC
70	70 - MULTICARE INDIGO SPOKANE VALLEY 15605 E SPRAGUE AVE SPOKANE,WA99223	URGENT CARE CLINIC
71	71 - MULTICARE INDIGO NORTH SPOKANE 9420 NORTH NEWPART HWY SPOKANE,WA99218	URGENT CARE CLINIC
72	72 - MULTICARE ROCKWOOD URGENT CARE DOWNTOWN 400 E 5TH AVE SPOKANE,WA99202	URGENT CARE CLINIC
73	73 - CONVENIENCE CARE BY WOODCREECK PEDIATRIC 1706 S MERIDIAN PUYALLUP,WA98371	URGENT CARE CLINIC
74	74 - CONVENIENCE CARE BY WOODCREECK PEDIATRIC 11102 SUNRISE BLVD PUYALLUP,WA98374	URGENT CARE CLINIC
75	75 - MULTICARE PUYALLUP URGENT CARE 220 15TH AVE SE PUYALLUP,WA98372	URGENT CARE CLINIC
76	76 - MULTICARE ROCKWOOD CHENEY 19 NORTH STREET CHENEY,WA99004	PRIMARY CARE PRACTICE
77	77 - MULTICARE ROCKWOOD DEER PARK 20 E J ST DEER PARK,WA99006	PRIMARY CARE PRACTICE
78	78 - MULTICARE ROCKWOOD LIBERTY LAKE 1326 N STANFORD LIBERTY LAKE,WA99019	PRIMARY CARE PRACTICE
79	79 - MULTICARE ROCKWOOD MEDICAL LAKE 725 N STANLEY ST MEDICAL LAKE,WA99022	PRIMARY CARE PRACTICE
80	80 - MULTICARE ROCKWOOD NORTHPOINTE 605 E HOLLAND STREET SPOKANE,WA99218	PRIMARY CARE PRACTICE
81	81 - MULTICARE ROCKWOOD PRAIRIE FAMILY MED 3016 E 57TH AVE SPOKANE,WA99223	PRIMARY CARE PRACTICE
82	82 - MULTICARE ROCKWOOD QUAIL RUN CLINIC 2214 E 29TH AVE SPOKANE,WA99203	PRIMARY CARE PRACTICE
83	83 - MULTICARE ROCKWOOD SOUTH VALLEY CLINIC 13221 E 32ND AVE SPOKANE,WA99216	PRIMARY CARE PRACTICE
84	84 - MULTICARE SUMNER ASSOCIATES 5814 GRAHAM AVE SUMNER,WA98390	PRIMARY CARE PRACTICE
85	85 - MULTICARE ROCKWOOD VALLEY CLINIC 14408 E SPRAGUE AVE SPOKANE VALLEY,WA99216	PRIMARY CARE PRACTICE
86	86 - OLYMPIC SPORTS AND SPINE LLC 6050 TACOMA MALL BLVD TACOMA,WA98409	PHYSICAL AND OCCUPATIONAL THERAPY
87	87 - AUBURN IMAGING PARTNERS 125 3RD STREET AUBURN,WA98002	IMAGING TESTING FACILITY
88	88 - VP SURGERY OF AUBURN 1002 15TH AVE SW AUBURN,WA98001	OP SURG,RX,LAB, CHIRO
89	89 - REDICLINIC OF WA LLC 9 E GREENWAY PLAZA STE 2950 HOUSTON,TX77046	PHARMACY AND PRIMARY CARE

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	PATIENTS MAY BE DETERMINED AS PRESUMPTIVELY ELIGIBLE FOR CHARITY IF THEY QUALIFY FOR MEDICAID OR IF THEY ARE HOMELESS.
PART I, LINE 7:	THE AMOUNTS ARE CALCULATED BASED ON A COST-TO-CHARGE RATIO WHICH WAS CALCULATED BASED ON WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBTS THAT WERE EXCLUDED FROM THE TOTAL EXPENSES WHEN CALCULATING THE PERCENTAGE IN COLUMN (F) WAS $53,676,629.PART III, SECTION A, LINE 2, COSTING METHODOLOGY:THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.3-4. PART III, SECTION A, LINE 3, RATIONALE FOR BAD DEBT AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT:IT IS OUR BELIEF THAT $1,634,000 OF BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT. AS A NOT-FOR-PROFIT, PATIENT CARE IS PROVIDED TO ALL, REGARDLESS OF THE ABILITY TO PAY FOR THAT CARE. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBTS AS A COMMUNITY BENEFIT. AS PART OF OUR COMMUNITY NEEDS ASSESSMENT, WE STUDIED THE INCOME CHARACTERISTICS OF THE UNINSURED POPULATION IN OUR COMMUNITY. AS PART OF THIS STUDY, WE ALSO LOOKED AT WHAT PORTION OF UNINSURED INDIVIDUALS IN THE HOSPITAL'S SERVICE AREA WOULD BE ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. WE APPLIED THIS PERCENTAGE TO OUR TOTAL AMOUNT OF BAD DEBT EXPENSE RECORDED TO ESTIMATE THE PORTION OF SELF-PAY BAD DEBT THAT WAS REASONABLY ATTRIBUTABLE TO INDIVIDUALS ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY BUT NOT PREVIOUSLY RECORDED AS SUCH. WE SUBTRACTED THE ACTUAL AMOUNT OF FINANCIAL ASSISTANCE RECORDED FROM THIS CALCULATED FIGURE. THE RESULT IS OUR ESTIMATE OF THE AMOUNT THAT SHOULD BE CONSIDERED COMMUNITY BENEFIT COST AND IS ENTERED ON PART III, LINE 3.
PART II, COMMUNITY BUILDING ACTIVITIES:	MULTICARE HEALTH SYSTEM IS ENGAGED IN A WIDE VARIETY OF COMMUNITY BUILDING ACTIVITIES. MULTICARE EMPLOYEES PARTICIPATE IN MANY VOLUNTEER PROGRAMS IN THE COMMUNITY, INCLUDING THE AMERICAN RED CROSS, THE PIERCE COUNTY DIABETES COALITION, UNITED WAY, AMERICAN HEART ASSOCIATION, MARCH OF DIMES, COMMUNITIES IN SCHOOLS, HABITAT FOR HUMANITY, SAFE STREETS COALITION, THE YWCA, WHICH OPERATES A DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN, THE AMERICAN CANCER SOCIETY, AND MANY OTHER ORGANIZATIONS. THE FOLLOWING ACTIVITIES, AVAILABLE TO ALL COMMUNITY MEMBERS, PROVIDE OPPORTUNITIES FOR IMPROVED PHYSICAL, MENTAL, AND EMOTIONAL HEALTH: INLAND NORTHWEST REGION: -DOMESTIC VIOLENCE ADVOCACY SERVICES AND RESOURCES ASSISTANCE IN COLLABORATION WITH THE YWCA;-EAT, SLEEP AND CONSOLE PROGRAM ADDRESSING BABIES BEING BORN WITH DRUG ADDICTION SYMPTOMS;-HOUSE OF CHARITY RESPITE CARE FOR HOMELESS IN COLLABORATION WITH CATHOLIC CHARITIES OF E. WASHINGTON;-PREVENT SUICIDE SPOKANE COALITION;-REGIONAL EMERGENCY & DISASTER HEALTHCARE COALITION LEADERSHIP PARTICIPATION AND CENTRAL COMMAND CENTER;-SPOKANE REGIONAL OPIOID TASK FORCE; -END THE VIOLENCE CAMPAIGN;-SMILE SPOKANE LEADERSHIP IMPACT NETWORK PARTICIPATING MEMBER TO IMPROVE ORAL HEALTH CARE AND EDUCATION IN SPOKANE COUNTY;-UNDERSERVED ELEMENTARY AND MIDDLE SCHOOL STUDENT OUTREACH PROGRAMS WITH PINES MIDDLE SCHOOL, BROADWAY ELEMENTARY AND REGAL ELEMENTARY PROVIDING SCHOOL SUPPLIES, SCIENCE EDUCATION AND WINTER CLOTHING;-ANNUAL TREE OF GIVING; -SPOKANE VALLEY PARTNERS COLLABORATION SUPPORTING THE FOOD BANK, CLOTHING BANK, EMERGENCY ASSISTANCE, FOOD4THOUGHT PROGRAM, FOOD EXPRESS, INLAND NW BABY DIAPER BANK, CAREER CLOTHING BANK AND A SUMMER FOOD DRIVE;-ANNUAL BRIDGE TO BRUNCH COMMUNITY 5K RUN/WALK PROVIDED BY MULTICARE AS A COMMUNITY EVENT SUPPORTING AND RAISING AWARENESS FOR COMMUNITY CANCER FUND;-CLINICAL, EMOTIONAL AND FINANCIAL ONGOING SUPPORT OF FREEMAN HIGH SCHOOL STUDENTS, STAFF AND FAMILIES FOLLOWING THE 2017 SCHOOL SHOOTING; -HOOPFEST, PROVIDING 2-DAYS OF MEDICAL AND VOLUNTEER SUPPORT FOR 6000 TEAMS AND 225,000 FANS;-AMERICAN HEART AND STROKE WALK AND ANNUAL FUNDRAISING SUPPORT CAMPAIGN;OPERATION HEALTHY FAMILY PARTNERSHIP FOR ORAL HEALTH EDUCATION & LINK TO DENTAL CARE; -BIG TABLE PARTNERSHIP FOR ORAL HEALTH ;-WSU HEALTHY PEOPLE HEALTHY PETS PARTNERSHIP TO PROVIDE VACCINATIONS TO HOMELESS AND LOW-INCOME INDIVIDUALS AND THEIR PETS;-ACCOUNTABLE COMMUNITY OF HEALTH PARTNER FOR IMPROVING ACCESS TO CARE FOR LOW INCOME MEDICAID POPULATION IN BEHAVIORAL HEALTH, OPIOID USE, CHRONIC DISEASE MANAGEMENT, ORAL HEALTH AND HEALTH EQUITY; -TELEPSYCH SERVICES FOR ED/INPATIENT CARE;-OUT OF THE DARKNESS WALK FOR SUICIDE PREVENTION; -SECOND HARVEST'S TOM'S TURKEY DRIVE PROVIDING LOCAL FAMILIES WITH THANKSGIVING MEALS;-SPOKANE TREATMENT AND RECOVERY SERVICES PARTNERSHIP;-PARTNERSHIP WITH FREEMAN SCHOOLS SCOTTIE DASH TO SUPPORT ACADEMIC, SPORT, EXTRACURRICULAR AND FACILITY NEEDS;-VALLEYFEST COMMUNITY CELEBRATION TITLE SPONSOR PROVIDING VISUAL AND PERFORMING ARTS, EDUCATION, SCIENCE, AND RECREATION TO THE COMMUNITY IN SPOKANE VALLEY AND BEYOND;-SPOKANE COUNTY MEALS ON WHEELS WERE SUPPLIED SAFETY EQUIPMENT, SO MEALS COULD SAFELY BE DISTRIBUTED DURING HEAVY FIRE SEASON;-FAMILY PROMISE OF SPOKANE HOMELESS SHELTER WAS PROVIDED SAFETY EQUIPMENT TO HELP REMODEL THEIR NEW AND LARGER SHELTER; -MULTICARE DEACONESS HOSPITAL RONALD MCDONALD FAMILY ROOMS PROVIDED FOR ANY FAMILIES WITH A CHILD IN THE HOSPITAL.PUGET SOUND REGION:-TACOMA TRAUMA TRUST IS A COLLABORATION OF MULTICARE, FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE TRAUMA CARE TO THE SOUTH PUGET SOUND REGION;-FALLS PREVENTION PROGRAM FOR THE ELDERLY;-SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM, PROVIDING CARE TO ADULT VICTIMS OF SEXUAL ASSAULT;-BEHAVIORAL HEALTH CRISIS INTERVENTION PROGRAM;-MARY BRIDGE CENTER FOR CHILDHOOD SAFETY AND THE MARY BRIDGE CHILDREN'S ADVOCACY CENTER; -BRIDGES: A CENTER FOR GRIEVING CHILDREN;-HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES;-GRIEF AND LOSS SERVICES;-FAMILY CAMP ERIN FOR CHILDREN SUFFERING LOSSES OF FAMILY MEMBERS;-CANCER CAMP FOR CHILDREN WITH CANCER;-WOMEN, INFANT AND CHILDREN (WIC) PROGRAM;-SAFE KIDS;-SAFE SHORES;-CENTER FOR HEALTHY LIVING NUTRITION AND FITNESS EDUCATION, WEIGHT MANAGEMENT, TOBACCO CESSATION AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS;-PUGET SOUND ASTHMA COALITION;-DIABETES SERVICES;-CONSULTING NURSE TELEPHONE SERVICE;-CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS.MULTICARE PROVIDES SUBSIDIZED AND NO-COST HOUSING THROUGH TREE HOUSE FOR IMMEDIATE FAMILY MEMBERS WHEN THEIR LOVED ONES RECEIVE MEDICAL CARE AT A MULTICARE HOSPITAL. FINANCIAL ASSISTANCE IS OFFERED SO THAT NO ELIGIBLE FAMILY IS TURNED AWAY BECAUSE OF INABILITY TO PAY. IN ADDITION, THE COMMUNITY PARTNERSHIP FUND OFFERS FINANCIAL SUPPORT TO COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE HOUSING ASSISTANCE TO HOMELESS INDIVIDUALS, INCLUDING CATHOLIC COMMUNITY SERVICES, AUBURN YOUTH RESOURCES, MULTI-SERVICE CENTER, AND THE KOREAN WOMEN'S ASSOCIATION.
PART III, LINE 8:	COSTING METHODOLOGY:THE SOURCE USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS FOR TACOMA GENERAL, ALLENMORE, GOOD SAMARITAN, AUBURN, COVINGTON, DEACONESS AND VALLEY HOSPITALS WAS THE 2018 MEDICARE COST REPORTS. SINCE MARY BRIDGE CHILDREN'S HOSPITAL FILES A LOW MEDICARE UTILIZATION COST REPORT, THE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM REPORT (PS&R) WAS USED. THE COST TO CHARGE RATIO, AS CALCULATED FROM THE INCOME STATEMENT, WAS APPLIED TO THE PS&R GROSS MEDICARE CHARGES TO CALCULATE THE MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6. MARY BRIDGE COSTS REPRESENT LESS THAT 0.1% OF THE TOTAL.MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT:THE HOSPITAL BELIEVES THAT ALL OF THE $62.8 MILLION SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR, MEDICARE ACCOUNTED FOR 28.12% OF HOSPITAL REVENUES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES.
PART III, LINE 9B:	MULTICARE'S DEBT COLLECTION POLICY STATES THAT "MHS WILL ALSO CLEARLY COMMUNICATE TO PATIENTS AND APPLICABLE PARTIES THE VARIOUS ASSISTANCE PROGRAMS MHS OFFERS BASED ON THE SITE OF SERVICE." IF THE PATIENT FOLLOWS THROUGH WITH THE APPLICABLE ASSISTANCE APPOINTMENTS, I.E., MEETING WITH MEDICAID OR COUNTY AGENCIES TO COMPLETE THE NECESSARY APPLICATION PROCESS, MULTICARE WILL NOT SEND THE ACCOUNT TO A BAD DEBT COLLECTION AGENCY.THERE ARE CIRCUMSTANCES WHERE A PATIENT DOES NOT RESPOND TO MULTICARE'S BILLING STATEMENTS AND IS SENT TO COLLECTIONS. AT THIS POINT, WHEN THEY ARE IN COLLECTIONS, IF THEY REQUEST FINANCIAL ASSISTANCE AND MEET CRITERIA UNDER THE FINANCIAL ASSISTANCE POLICY'S FEDERAL POVERTY GUIDELINES (FPG), THE COLLECTIONS WILL NOT BE PURSUED.
PART VI, LINE 2:	MULTICARE WORKS COLLABORATIVELY WITH REGIONAL AGENCIES AND ORGANIZATIONS TO IDENTIFY THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE AND TO DEVELOP PROGRAMS AND SERVICES TO MEET THOSE NEEDS. COMMUNITY PARTNERS INCLUDE THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT, THE PIERCE COUNTY MEDICAL SOCIETY, THE UNITED WAY OF PIERCE COUNTY, YMCA OF PIERCE AND KITSAP COUNTIES, THE CITY OF TACOMA, THE TACOMA PUBLIC SCHOOL DISTRICT, AND MANY OTHERS. WE UTILIZE THE DATA FROM OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA), AS WELL AS FEDERAL- AND STATE-LEVEL DATA TO DETERMINE THE MOST PRESSING HEALTH CARE NEEDS FOR OUR SERVICE AREAS. FOR MORE DETAILED INFORMATION, SEE PART V, SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B.
PART VI, LINE 3:	FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN A VARIETY OF WAYS. FINANCIAL AID INFORMATION IS POSTED ON THE MULTICARE.ORG EXTERNAL WEBSITE.PRE-SERVICE CENTER STAFF STARTS CONVERSATIONS WITH PATIENTS ABOUT THEIR POTENTIAL FINANCIAL RESPONSIBILITY AND SHARE PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE INFORMATION WITH THE PATIENT DURING THIS INITIAL PHONE CALL. AT THE TIME OF REGISTRATION (WHETHER PRE-REGISTERED OR NOT), PATIENTS ARE NOTIFIED ABOUT THEIR INSURANCE COVERAGE AND FINANCIAL LIABILITIES. FINANCIAL COUNSELORS ARE AVAILABLE IF A NEED IS IDENTIFIED. IF A PATIENT DOES NOT HAVE INSURANCE, MULTICARE WORKS WITH PATIENTS TO VERIFY POTENTIAL STATE/FEDERAL ELIGIBILITY OR ROUTE THEM TO FINANCIAL AID IF APPROPRIATE. FINANCIAL AID APPLICATIONS ARE HANDED OUT AT ALL SERVICE LOCATIONS UPON REQUEST OR WHEN A NEED IS IDENTIFIED BY STAFF. PATIENTS ARE ALSO GIVEN AN INFORMATIONAL BILLING HANDOUT AT REGISTRATION/ADMISSION WITH INFORMATION TO CONTACT FINANCIAL COUNSELORS IF THEY MAY HAVE DIFFICULTY PAYING THEIR HOSPITAL BILL.
PART VI, LINE 4:	MULTICARE HEALTH SYSTEM IS A WASHINGTON STATE INTEGRATED DELIVERY SYSTEM THAT OPERATES IN TWO REGIONS, THE PUGET SOUND AND THE INLAND NORTHWEST. THE PRIMARY SERVICE AREA FOR THE PUGET SOUND IS DEFINED AS PIERCE AND SOUTH KING COUNTIES, WHICH INCLUDES THE CITIES OF TACOMA, PUYALLUP, UNIVERSITY PLACE, LAKEWOOD, BONNEY LAKE, GIG HARBOR, AUBURN, KENT, FEDERAL WAY AND COVINGTON. THE SECONDARY SERVICE AREA IS DEFINED AS NE KING, KITSAP AND THURSTON COUNTIES. THERE ARE TWELVE HOSPITALS IN PIERCE AND SOUTH KING COUNTIES; SIX OF THEM ARE MULTICARE HOSPITALS. THE PUGET SOUND REGION IS A MIX OF BOTH URBAN AND SUBURBAN COMMUNITIES. THE POPULATION OF THE PUGET SOUND REGION, INCLUSIVE OF PRIMARY AND SECONDARY SERVICE AREAS, IS 3,633,340 INDIVIDUALS.ACCORDING TO THE MOST RECENT US CENSUS DATA, 74.8% OF PIERCE COUNTY'S POPULATION IS CAUCASIAN; 7.6% IS AFRICAN-AMERICAN, 6.9% IS ASIAN, 1.8% IS NATIVE-AMERICAN, 1.7% IS NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 11.1% ARE OF HISPANIC OR LATINO ORIGIN, AND 7.3% IS SOME OTHER RACE OR TWO OR MORE RACES. OVER 10 PERCENT OF INDIVIDUALS IN THE COUNTY ARE LIVING IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IS $63,881. IN ADDITION, THE ROBERT WOOD JOHNSON FOUNDATION 2018 COUNTY HEALTH RANKINGS REPORT THAT 7% OF THE PIERCE COUNTY POPULATION IS UNINSURED.THE PRIMARY SERVICE AREA FOR THE INLAND NORTHWEST REGION IS DEFINED AS SPOKANE COUNTY WHICH INCLUDES THE CITIES OF SPOKANE, SPOKANE VALLEY, CHENEY, MEDICAL LAKE, AIRWAY HEIGHTS AND LIBERTY LAKE. THE SECONDARY SERVICE AREA IS DEFINED AS ADAMS, LINCOLN, PEND OREILLE, STEVENS AND WHITMAN COUNTIES. THERE ARE SEVEN HOSPITALS IN SPOKANE COUNTY; TWO OF THEM ARE MULTICARE HOSPITALS. THE INLAND NORTHWEST REGION IS A MIX OF URBAN, SUBURBAN AND RURAL COMMUNITIES. THE INLAND NORTHWEST'S POPULATION, INCLUSIVE OF THE PRIMARY AND SECONDARY SERVICE AREAS, IS 649,780 INDIVIDUALS, WITH A MEDIAN HOUSEHOLD INCOME OF $52,680.ACCORDING TO THE MOST RECENT US CENSUS DATA, THE RACIAL AND ETHNIC MAKEUP OF SPOKANE COUNTY WAS 89.1% WHITE, 2.4% ASIAN, 2% BLACK OR AFRICAN AMERICAN, 1.8% AMERICAN INDIAN OR ALASKA NATIVE, 0.4% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 4.1% IDENTIFYING AS TWO OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 5.9% OF THE POPULATION. ABOUT 14.1% OF THE POPULATION LIVES BELOW THE POVERTY LINE.MULTICARE HEALTH SYSTEM INCLUDES A LARGE NETWORK OF PRIMARY AND SPECIALTY PROVIDERS, IS LICENSED FOR 1,992 BEDS AND OPERATES SEVERAL OUTPATIENT SURGICAL SITES AND OTHER URGENT CARE, PRIMARY CARE AND MULTISPECIALTY CLINICS. MULTICARE HEALTH SYSTEM PROVIDES SERVICES DESIGNED TO MEET THE SPECIFIC HEALTHCARE REQUIREMENTS OF THE POPULATION, WITH A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT PROGRAMS MADE AVAILABLE IN CONJUNCTION WITH THE RESOURCES OF OTHER COMMUNITY HEALTH PROVIDERS.
PART VI, LINE 5:	MULTICARE HEALTH SYSTEM IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS REPRESENT THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS "COMMUNITY BENEFIT STANDARD," A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. MULTICARE HEALTH SYSTEM HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITY. AS A NOT-FOR-PROFIT ORGANIZATION, SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED BY THE ORGANIZATION TO FUND CAPITAL IMPROVEMENTS AND ACQUIRE STATE OF THE ART MEDICAL EQUIPMENT WITH THE INTENT OF CONTINUALLY IMPROVING PATIENT CARE. ON AN ANNUAL BASIS, STAFF FROM MANY DEPARTMENTS CONDUCT COMMUNITY BENEFIT PROGRAMS AND SERVICES TO CONTINUOUSLY PROVIDE HEALTH EDUCATION, PROMOTION AND WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. MULTICARE HEALTH SYSTEM PARTICIPATES IN A WIDE VARIETY OF ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. IN THE PUGET SOUND REGION, THESE INCLUDE:TACOMA TRAUMA TRUST, A COLLABORATION OF MULTICARE, CHI FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE ADULT TRAUMA CARE;FALLS PREVENTION PROGRAM FOR THE ELDERLY;SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM, PROVIDING CARE TO ADULT SEXUAL ASSAULT VICTIMS;BEHAVIORAL HEALTH CRISIS INTERVENTION PROGRAM;MARY BRIDGE CENTER FOR CHILDHOOD SAFETY AND MARY BRIDGE CHILDREN'S ADVOCACY CENTER; BRIDGES: A CENTER FOR GRIEVING CHILDREN;HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES;GRIEF AND LOSS SERVICES;CAMP ERIN FOR CHILDREN SUFFERING LOSSES OF FAMILY MEMBERS;CANCER CAMP FOR CHILDREN WITH CANCER;WOMEN, INFANT AND CHILDREN (WIC) PROGRAM;SAFE KIDS;SAFE SHORES;CENTER FOR HEALTH EQUITY & WELLNESS NUTRITION AND FITNESS EDUCATION, WEIGHT MANAGEMENT, TOBACCO CESSATION AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS;PUGET SOUND ASTHMA COALITION;DIABETES SERVICES;CONSULTING NURSE TELEPHONE SERVICE;CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS;WORKFORCE DEVELOPMENT PARTNERSHIPS WITH THE PIERCE COUNTY WORKFORCE DEVELOPMENT COUNCIL AND THE PIERCE COUNTY HEALTH CAREERS COUNCIL;PARTNERSHIPS WITH AREA COLLEGE NURSING PROGRAMS AND A NURSE RESIDENCY PROGRAM;NURSE CAMP, A WEEK-LONG PROGRAM FOR HIGH SCHOOL STUDENTS SEEKING TO EXPLORE NURSING AND THE ALLIED HEALTH PROFESSIONS; FREE SPORTS PHYSICALS FOR TACOMA SCHOOL DISTRICT STUDENTS;READY, SET, GO! 5210, A COMMUNITY-WIDE PUBLIC-PRIVATE PARTNERSHIP TO PROMOTE HEALTHY LIFESTYLES FOR CHILDREN AND FAMILIES; SIBLING SUPPORT PROJECT TO BENEFIT SIBLINGS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS;SCHOLARSHIPS FOR PARENT EDUCATION;ASSISTIVE TECHNOLOGY PROGRAM PROVIDING ADAPTATIONS TO THE ENVIRONMENT TO IMPROVE INDEPENDENCE;PARENTS NIGHT OUT HOST SITE FOR PARENTS WITH SPECIAL NEEDS CHILDREN;SIGN LANGUAGE CLASSES THROUGH PIERCE COUNTY LIBRARY;PROJECT ACCESS AND PROJECT NW TO HELP LOW-INCOME PATIENTS CONNECT WITH PRIMARY CARE AND SPECIALTY PROVIDERS TO IMPROVE HEALTH OUTCOMES AND REDUCE INAPPROPRIATE EMERGENCY ROOM USE. PROJECT ACCESS ALSO PROVIDES PREMIUM ASSISTANCE FOR PATIENTS.IN THE INLAND NW (EASTERN WA-SPOKANE): PROJECT ACCESS, PROVIDING CHARITABLE CARE FOR THOSE NEEDING PRIMARY AND SPECIALTY CARE SERVICES;SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM PROVIDING CARE TO ADULT SEXUAL ASSAULT VICTIMS;PARTNERING RELATIONSHIP WITH INW BEHAVIORAL HEALTH HOSPITAL FOR PSYCHIATRIC CARE;AMERICAN BEHAVIORAL HEALTH SERVICES PARTNERSHIP; TUBERCULOSIS TESTING FOR WSU MEDICAL STUDENTS; FLU VACCINATIONS FOR EWU & WSU STUDENTS;AMERICAN HEART ASSOCIATION BROWN BAG LUNCH PROVIDER PRESENTATIONS; TOBACCO CESSATION RESOURCES AND EDUCATION FOR PATIENTS AND COMMUNITYMEMBERS IN PARTNERSHIP WITH SPOKANE REGIONAL HEALTH DISTRICT;WSDOT EDUCATIONAL OUTREACH IN SLEEP HEALTH, BODY MECHANICS, WARNING SIGNS AND RISK DETECTION OF CHRONIC AND ACUTE CONDITIONS OF MAJOR HEALTH PROBLEMS;VOLUNTEER MEDICAL DIRECTOR FOR EWU ATHLETICS;BREAST HEALTH EVENT TO INCREASE ACCESS TO SCREENING AND RISK AWARENESS EDUCATION.THE HOSPITALS OF THE AFFILIATED GROUP UTILIZE FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING BUT NOT LIMITED TO:EDUCATIONAL PROGRAMS ON TOBACCO CESSATION, HEALTHY AGING, CHILDBIRTH, INFANT CARE, HEALTH AND WELLNESS, AND NUTRITION; FREE MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW COST SCREENINGS AT A VARIETY OF HEALTH FAIRS HELD THROUGHOUT THE YEAR, AND LOW COST IMMUNIZATIONS IN THE COMMUNITY; EXPANSION OF THE EMERGENCY DEPARTMENTS TO ACCOMMODATE AN INCREASE IN EMERGENCY DEPARTMENT PATIENTS; SENIOR MEMBERSHIP AFFINITY PROGRAM; CANCER TRIALS AND RESEARCH; MULTICARE INSTITUTE FOR RESEARCH & INNOVATION; CARE MANAGEMENT, POWER OF ATTORNEY, AND NOTARY SERVICE CHARITY MEDICATIONS; CHILDREN'S THERAPY UNIT; ASSISTIVE TECHNOLOGY PROGRAM; COMMUNITY EDUCATION: TRANSFUSION FREE MEDICAL & SURGICAL PROGRAM; MULTICARE GOOD SAMARITAN READERS; FAMILY BIRTH CENTER CLASSES AND SERVICES; AND MOBILE HEALTH SERVICES, PALLIATIVE CARE, PHYSICAL MEDICINE & REHABILITATION, AND VOLUNTEER SERVICES.INLAND NORTHWEST HOSPITAL OFFERINGS & PARTNERSHIPS INCLUDE BUT ARE NOT LIMITED TO:BREASTFEEDING CLASSES;CHILDBIRTH EDUCATION;SAFE INFANT SLEEP;EASTERN WASHINGTON UNIVERSITY AND WASHINGTON STATE UNIVERSITY STUDENT; HEALTH TB TESTING & FLU VACCINATION PROGRAM;ALS CAREGIVER SUPPORT GROUP;SCLERODERMA SUPPORT GROUP;SPOKANE COMMUNITY COLLEGES AND WASHINGTON STATE UNIVERSITY NURSING; ROUNDING CONFERENCE.IN 2015, MULTICARE LAUNCHED A COMMUNITY GRANTS PROGRAM: MULTICARE COMMUNITY PARTNERSHIP FUND. IN 2018, $500,000 WAS AWARDED TO COMMUNITY ORGANIZATIONS IN PIERCE, KING, THURSTON AND KITSAP COUNTIES WHOSE MISSIONS ARE AIMED AT IMPROVING THE LIVES OF RESIDENTS. IN 2018, THE INLAND NORTHWEST REGION ALSO LAUNCHED THE MULTICARE COMMUNITY PARTNERSHIP FUND PROGRAM, AND $250,000 WAS AWARDED TO COMMUNITY ORGANIZATIONS THROUGHOUT THE EASTERN WA REGION WHOSE MISSIONS ARE ALIGNED WITH MULTICARE. MORE INFORMATION ON THE ORGANIZATIONS AWARDED GRANTS IN 2018 CAN BE FOUND AT HTTPS://WWW.MULTICARE.ORG/COMMUNITYPARTNERSHIP/ AND WITHIN MULTICARE'S FORM 990 , SCHEDULE I DOCUMENTS. MULTICARE HAS ESTABLISHED COLLABORATIVE RELATIONSHIPS WITH SEVERAL COMMUNITY PARTNERSHIP FUND RECIPIENTS. CURRENTLY, WE WORK WITH COMMUNITIES IN SCHOOLS OF PUYALLUP AND TACOMA TO IMPROVE ACCESS TO PHYSICAL AND BEHAVIORAL HEALTH SERVICES FOR STUDENTS; GUIDES THE TEAMS PROGRAM AT GREEN RIVER COMMUNITY COLLEGE AND PACIFIC LUTHERAN UNIVERSITY TO IMPROVE HEALTH FOR SENIORS; PARTNERS WITH KOREAN WOMEN'S ASSOCIATION TO DELIVER THE SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) CONFERENCE AND INCREASE ACCESS TO AND IMPROVE OUTCOMES AROUND BEHAVIORAL HEALTH, INCLUDING MINORITY BEHAVIORAL HEALTH; PARTNERS WITH THE OASIS YOUTH CENTER, RAINBOW CENTER, AND PIERCE COUNTY AIDS FOUNDATION TO IMPROVE LGBT PATIENT EXPERIENCES; AND SUPPORTS OPERATIONS AT TRINITY NEIGHBORHOOD HEALTH CLINIC, WHICH PROVIDES FREE MEDICAL SERVICES. MULTICARE INW REGION COLLABORATES WITH THE CATHOLIC CHARITIES OF EASTERN WASHINGTON'S HOUSE OF CHARITY TO PROVIDE RESPITE CARE THE HOMELESS, WHILE ALSO BEING A RESOURCE TO MANY NEEDED HEALTH, FOOD SECURITY, TRANSPORTATION, AND HOUSING ASSISTANCE SOLUTIONS.MULTICARE HEALTH SYSTEM USES PRESUMPTIVE CHARITY PROCESS USING A THRESHOLD AND HOLDBACK TEST TO DETERMINE ELIGIBILITY FOR HOMELESS PATIENTS AND THOSE WHO QUALIFY FOR MEDICAID. FOR ALL OTHER PATIENTS MULTICARE HEALTH SYSTEM USES FPG TO DETERMINE ELIGIBILITY.
PART VI, LINE 6:	MULTICARE HEALTH SYSTEM ("MULTICARE") IS A WASHINGTON NOT-FOR-PROFIT CORPORATION, AND ORGANIZED AS A TAX-EXEMPT ENTITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. MULTICARE HAS FOUR AFFILIATED FOUNDATIONS: MULTICARE HEALTH FOUNDATION, MARY BRIDGE CHILDREN'S FOUNDATION, GOOD SAMARITAN FOUNDATION, AND SOUTH KING HEALTH FOUNDATION, ALL WASHINGTON NONPROFIT CORPORATIONS. MULTICARE HEALTH SYSTEM HAS 18,000 TEAM MEMBERS, INCLUDING EMPLOYEES, PROVIDERS AND VOLUNTEERS. WE'VE BEEN CARING FOR OUR COMMUNITY FOR WELL OVER A CENTURY, SINCE THE FOUNDING OF TACOMA'S FIRST HOSPITAL AND TODAY, WE ARE THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTH SYSTEM IN THE STATE OF WASHINGTON. OUR COMPREHENSIVE SYSTEM OF HEALTH INCLUDES NUMEROUS PRIMARY CARE, URGENT CARE AND SPECIALTY SERVICES INCLUDING MULTICARE IMMEDIATE CLINICS, MULTICARE INDIGO URGENT CARE CENTERS, PULSE HEART INSTITUTE AND MULTICARE ROCKWOOD CLINIC, THE LARGEST MULTISPECIALTY CLINIC IN THE INLAND NORTHWEST REGION. SPECIALTY SERVICES INCLUDE LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, LEVEL IV NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY LEVEL I TRAUMA REHABILITATION CENTER AND AN INTERNATIONALLY RENOWNED THERAPY UNIT FOR CHILDREN WITH SPECIAL NEEDS. THROUGH OUR AFFILIATION WITH NAVOS (2017) AND GREATER LAKES MENTAL HEALTH (2018) WE ARE THE LARGEST BEHAVIORAL HEALTH PROVIDER IN WASHINGTON STATE. OUR NETWORK OF CARE INCLUDES NINE HOSPITALS:MULTICARE TACOMA GENERAL HOSPITAL, TACOMA,MULTICARE ALLENMORE HOSPITAL, TACOMA,MARY BRIDGE CHILDREN'S HOSPITAL, TACOMA, MULTICARE GOOD SAMARITAN HOSPITAL, PUYALLUP,MULTICARE AUBURN MEDICAL CENTER, AUBURN,MULTICARE COVINGTON MEDICAL CENTER, COVINGTON,MULTICARE DEACONESS HOSPITAL, SPOKANE,MULTICARE VALLEY HOSPITAL, SPOKANE VALLEY,NAVOS, SEATTLE.
PART VI, LINE 7, REPORTS FILED WITH STATES	WA

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MULTICARE HEALTH SYSTEM

Employer identification number
91-1352172

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MARY BRIDGE CHILDREN'S FOUNDATION PO BOX 5299 TACOMA,WA98415	94-3030039	501(C)(3)	3,688,730	ASSISTANCE FOR OPERATING EXPENSES.
(2) MULTICARE HEALTH FOUNDATION PO BOX 5299 TACOMA,WA98415	91-1514257	501(C)(3)	1,711,555	ASSISTANCE FOR OPERATING EXPENSES
(3) GOOD SAMARITAN FOUNDATION PO BOX 5299 TACOMA,WA98415	91-2004312	501(C)(3)	1,639,736	ASSISTANCE FOR OPERATING EXPENSES
(4) MULTICARE SOUTH KING HEALTH FOUNDATION PO BOX 5299 TACOMA,WA98415	46-5636491	501(C)(3)	734,129	ASSISTANCE FOR OPERATING EXPENSES
(5) MEDICAL TEAMS INTERNATIONAL 9680 153RD AVE REDMOND,WA98052	93-0878944	501(C)(3)	60,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, GENERAL SUPPORT FOR OPERATIONS
(6) FIRST FIVE FUNDAMENTALS 1501 PACIFIC AVE SE STE 203 TACOMA,WA98402	80-0209462	501(C)(3)	25,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, GENERAL SUPPORT FOR OPERATIONS
(7) LINDQUIST DENTAL CLINIC FOR CHILDREN 130 131ST ST S TACOMA,WA98444	91-0615378	501(C)(3)	25,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND TO THE UNCOMPENSATED CARE FUND.
(8) VINE MAPLE PLACE PO BOX 1092 MAPLE VALLEY,WA98038	91-2082308	501(C)(3)	20,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(9) SAFE STREETS CAMPAIGN 622 TACOMA AVE S TACOMA,WA98402	91-1704402	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS
(10) THE TEARS FOUNDATION 11102 SUNRISE BLVD E PUYALLUP,WA98373	45-0500497	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(11) BOYS & GIRLS CLUBS OF SOUTH PUGET SOUND 3875 S 66TH STREET TACOMA,WA98409	91-0759832	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(12) EMERGENCY FOOD NETWORK 3318 92ND ST S LAKEWOOD,WA98499	94-3131776	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(13) NOURISH PIERCE COUNTY 1702 S 72ND ST TACOMA,WA98408	91-1198391	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(14) SHARE & CARE HOUSE PO BOX 800 PUYALLUP,WA98371	91-1741654	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(15) AMARA'S PIERCE COUNTY EMERGENCY SANCTUARY 1901 JEFFERSON AVE TACOMA,WA98402	91-0577487	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(16) ASIAN COUNSELING AND REFERRAL SERVICES 3639 MLK JRWAY SEATTLE,WA98402	91-0916176	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS
(17) CIS TACOMA 2141 SJ ST TACOMA,WA98405	91-2138848	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
(18) FOOD BACKPACK FOR KIDS PO BOX 173 GIG HARBOR,WA98335	80-0600633	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(19) HILLTOP ARTISTS PO BOX 6829 TACOMA,WA98417	91-1667476	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS
(20) LUTHERAN COMMUNITY SERVICES NORTH WEST 223 N YAKIMA AVE TACOMA,WA98403	93-0386860	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS.
(21) MERCY HOUSING NORTHWEST 6930 MARTIN LUTHER KING JR WAY SEATTLE,WA98118	91-1546525	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(22) PIERCE COUNTY AIDS FOUNDATION 3009 S 40TH ST TACOMA,WA98409	91-1385245	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(23) TACOMA HOUSING DEVELOPMENT GROUP 902 S L ST TACOMA,WA98405	81-0557198	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(24) NORTHWEST HARVEST PO BOX 12271 SEATTLE,WA98102	91-0826037	501(C)(3)	7,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(25) A STEP AHEAD 10324 CANYON ROAD PUYALLUP,WA98373	91-2145470	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(26) BACKPACK KIDS 13614 111TH ST PUYALLUP,WA98374	82-1240836	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
(27) BIG BROTHERS BIG SISTERS 3640 S CEDAR ST TACOMA,WA98409	91-0673185	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(28) CATHERINE PLACE 932 S 8TH ST TACOMA,WA98405	91-2089836	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(29) CATHOLIC COMMUNITY SERVICES- KITSAPPIERCETHURSTON 1323 S YAKIMA AVE TACOMA,WA98405	91-1585652	501(C)(3)	5,000	SUPPORT TEAMS FOR HEALTHIER LIVING
(30) CHILDREN'S MUSEUM OF TACOMA 1501 PACIFIC AVE S TACOMA,WA98402	94-3036465	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(31) CIS PENINSULA PO BOX 684 VAUGHN,WA98394	91-2024847	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(32) CIS PUYALLUP 302 SECOND ST SE PUYALLUP,WA98372	26-0028759	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(33) CRYSTAL JUDSON FAMILY JUSTICE CENTER 718 COURT E TACOMA,WA98402	91-1007459	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS.
(34) FARESTART 700 VIRGINIA STREET SEATTLE,WA98101	91-1546757	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(35) FIRST WASHINGTON 21238 68TH STREET KENT,WA98032	45-2443839	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(36) FOUNDATION FOR HEALTHY GENERATIONS 419 3RD AVE SEATTLE,WA98119	91-6186093	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(37) GREATER MAPLE VALLEY COMMUNITY CENTER 22010 SE 248TH ST MAPLE VALLEY,WA98038	51-0181410	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
(38) KEY PENINSULA FREE CLINIC 8903 KEY PENINSULA HWY LAKEBAY,WA98349	46-2454053	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(39) METROPOLITAN DEVELOPMENT COUNCIL 945 FAWCETT AVE TACOMA,WA98402	91-0780533	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(40) MUSEUM OF GLASS 1801 DOCK ST TACOMA,WA98402	91-1669422	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
(41) MUSTARD SEED PO BOX 182 VAUGHN,WA98394	91-1537566	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(42) NEIGHBORHOOD CLINIC 1323 S YAKIMA AVE TACOMA,WA98405	91-1318144	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(43) NORTHWEST INFANT SURVIVAL & SIDS ALLIANCE 4649 SUNNYSIDE AVE N SEATTLE,WA98103	91-1567341	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(44) PEACE COMMUNITY CENTER 2106 CUSHMAN AVE TACOMA,WA98405	91-1546757	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(45) PIERCE COUNTY LIBRARY FOUNDATION 3005 112TH ST E TACOMA,WA98446	51-0180293	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(46) PLU-GRCC TEAMS FOR HEALTHIER LIVING 12180 PARK AVE S TACOMA,WA98444	91-0565571	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(47) PRECIPTION DRUG ASSISTANCE 1111 HARVARD AVE SEATTLE,WA98122	33-1134368	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(48) PUYALLUP VALLEY ST FRANCIS HOUSE PO BOX 156 PUYALLUP,WA98371	91-1621772	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(49) REBUILDING TOGETHER SOUTH 4019 S ORCHARD ST TACOMA,WA98466	91-2147601	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(50) THE RESCUE MISSION PO BOX 1912 TACOMA,WA98401	91-0565014	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(51) ROTARY FIRST HARVEST PO BOX 4098 SEATTLE,WA98194	91-1229941	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(52) SEATTLEKING COUNTY CLINIC 305 HARRISON ST SEATTLE,WA98109	91-1003385	501(C)(3)	5,000	GENERAL SUPPORT FOR THE AFTER SCHOOL PROGRAM
(53) VASHON YOUTH & FAMILY SERVICES PO BOX 237 VASHON,WA98070	91-1025994	501(C)(3)	5,000	GENERAL SUPPORT FOR THE AFTER SCHOOL PROGRAM
(54) SOMALI HEALTH BOARD 7050 32ND AVE S STE 103 SEATTLE,WA98118	46-5114580	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(55) SOUTH SOUND PARENT TO PARENT 2108 CANTON WAY SW OLYMPIA,WA98502	91-1496512	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(56) ST LEO FOOD CONNECTION 710 S 13TH ST TACOMA,WA98405	91-0622353	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(57) ST VINCENT PAUL COVINGTON 25810 156TH AVE SE SEATTLE,WA98402	13-5562362	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(58) ST VINCENT PAUL TACOMA 4009 S 56TH ST TACOMA,WA98409	91-0580490	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(59) STOLEN YOUTH 1201 1ST AVE S STE 321 SEATTLE,WA98134	45-4985230	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(60) UNITED TERRITORIES OF PACIFIC ISLANDERS ALLIANCE PO BOX 68206 SEATTLE,WA98168	61-1668192	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(61) YWCA PIERCE 405 BROADWAY TACOMA,WA98402	91-0565026	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(62) YWCA SEATTLE 1118 FIFTH AVE SEATTLE,WA98101	91-0482890	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(63) GREATER SPOKANE MEALS ON WHEELS PO BOX 14278 SPOKANE,WA99214	91-1042546	501(C)(3)	25,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(64) YWCA SPOKANE 930 N MONROE SPOKANE,WA99201	91-0565025	501(C)(3)	17,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(65) CATHOLIC CHARITIES OF EASTERN WA PO BOX 2253 SPOKANE,WA99210	91-0569880	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(66) PARTNERS WITH FAMILIES & CHILDREN SPOKANE 1321 W BROADWAY SPOKANE,WA99201	68-0576560	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(67) SPOKANE COUNTY UNITED WAY 920 N WASHINGTON ST SPOKANE,WA99201	91-0606058	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(68) FAMILY PROMISE OF SPOKANE 904 E HARTSON AVE SPOKANE,WA99202	91-1707988	501(C)(3)	12,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(69) AT THE CORE PO BOX 981 MEAD,WA99021	49-2937061	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(70) BIG TABLE PO BOX 372 SPOKANE,WA99210	20-8931223	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(71) SECOND HARVEST INLAND NW 1234 E FRONT AVE SPOKANE,WA99202	23-7173826	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(72) U-DISTRICT FOUNDATION MENTORING PROGRAM 730 N HAMILTON ST SPOKANE,WA99202	30-0391912	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(73) VANESSA BEHAN CRISIS NURSERY 10004 E 8TH AVE SPOKANE,WA99202	91-1196575	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(74) WOMEN HELPING WOMEN FUND 1325 W 1ST AVE ST SPOKANE,WA99201	91-1561874	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(75) EASTERN WA UNIVERSITY FOUNDATION- 3D 210 SHOWALTER HALL CHENEY,WA99004	91-1019819	501(C)(3)	8,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(76) RIVER CITY YOUTH OPERATIONS 1428 W BROADWAY AVE SPOKANE,WA99201	26-1417578	501(C)(3)	6,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(77) TRANSITIONS 3128 N HEMLOCK SPOKANE,WA99205	91-1307272	501(C)(3)	6,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(78) THE ALS SERVICE PO BOX 48177 SPOKANE,WA99228	26-2613591	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(79) DAYBRIDGE SERVICES 2917 N CINCINNATI SPOKANE,WA99207	91-0741659	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(80) ELEVATION A CHILDREN'S THERAPHY RESOURCE 325 S UNIVERSITY RD SPOKANE VALLEY,WA99037	45-4130330	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(81) FREE REIN THERAPEUTIC RIDING PO BOX 30893 SPOKANE,WA99223	20-8377385	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(82) FRONTIER BEHAVIORAL HEALTH 107 S DIVISION ST SPOKANE,WA99201	91-0853801	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(83) GIRLS ON THE RUN OF SPOKANE COUNTY PO BOX 1245 SPOKANE,WA99210	46-2857911	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(84) THE ISAAC FOUNDATION 28 W THIRD SPOKANE,WA99201	39-2061069	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(85) MISSION COMMUNITY OUTREACH CENTER 1906 E MISSION AVE SPOKANE,WA99206	91-1703334	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(86) OPERATION HEALTHY FAMILY 631 S RICHARD ALLEN CT SPOKANE,WA99212	45-3903048	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(87) PROJECT BEAUTY SHARE 2718 E SPRAGUE SPOKANE,WA99202	27-1822098	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(88) SPOKANE EASTSIDE REUNION ASSOCIATION 3001 E 5TH AVE SPOKANE,WA99202	45-2464484	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(89) WOMEN & CHILDREN'S FREE RESTAURANT & COMMUNITY 1408 N WASHINGTON ST SPOKANE,WA99201	91-1399742	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(90) WSU FOUNDATION COLLEGE OF NURSING PO BOX 641925 PULLMAN,WA99164	91-1075542	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(91) GREATER SPOKANE INCORPORATED 801 W RIVERSIDE AVE SPOKANE,WA99201	91-1896341	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

THE MULTICARE COMMUNITY PARTNERSHIP FUND PROVIDES FUNDING TO NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS IN PIERCE, KING, THURSTON AND KITSAP COUNTIES THAT ADVANCE INITIATIVES, PROGRAMS, AND PROJECTS THAT IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING THROUGH PARTNERSHIP WITH ORGANIZATIONS THAT AFFECT THE SOCIAL DETERMINANTS OF HEALTH. AFTER THE APPLICANTS ARE VALIDATED AS 501(C)(3) ORGANIZATIONS AND PROVIDED THE FUNDS, MULTICARE HEALTH SYSTEM THEN SEES THE BENEFITS OF THOSE ORGANIZATIONS IN THE COMMUNITY. RESEARCH IS CONDUCTED TO ENSURE THE INTEGRITY AND ETHICS OF EACH OF THE ORGANIZATIONS.

Schedule I (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1WILLIAM ROBERTSON PRESIDENT & CEO, INTERIM CFO	(i) (ii)	1,237,368 ------------- 0	348,227 ------------- 0	5,244 ------------- 0	536,139 ------------- 0	20,833 ------------- 0	2,147,811 ------------- 0	0 ------------- 0
2ANNA LOOMIS CFO, PART YEAR	(i) (ii)	547,040 ------------- 0	159,082 ------------- 0	36,077 ------------- 0	66,308 ------------- 0	14,549 ------------- 0	823,056 ------------- 0	18,307 ------------- 0
3FLORENCE CHANG EXECUTIVE VICE PRESIDENT	(i) (ii)	940,019 ------------- 0	231,167 ------------- 0	5,160 ------------- 0	221,777 ------------- 0	24,745 ------------- 0	1,422,868 ------------- 0	0 ------------- 0
4DAVID CARLSON SRVP,PROVIDER ENTERPRISES	(i) (ii)	592,699 ------------- 0	104,192 ------------- 0	9,384 ------------- 0	90,500 ------------- 0	27,223 ------------- 0	823,998 ------------- 0	0 ------------- 0
5DAVID O'BRIEN SRVP/CHIEF EXEC-EAST. WA	(i) (ii)	595,563 ------------- 0	215,246 ------------- 0	87,420 ------------- 0	11,000 ------------- 0	16,953 ------------- 0	926,182 ------------- 0	0 ------------- 0
6LINDA CHEN PRES. MARY BRIDGE,PART YEAR	(i) (ii)	67,769 ------------- 0	83,672 ------------- 0	666,638 ------------- 0	324 ------------- 0	3,033 ------------- 0	821,436 ------------- 0	113,740 ------------- 0
7CHRISTI MCCARREN SRVP,RETAIL HEALTH&COMMUNI	(i) (ii)	397,542 ------------- 0	104,729 ------------- 0	73,697 ------------- 0	15,255 ------------- 0	11,277 ------------- 0	602,500 ------------- 0	15,307 ------------- 0
8TIM BRICKER SRVP/CHIEF EXEC-S. SOUND	(i) (ii)	644,690 ------------- 0	142,512 ------------- 0	2,760 ------------- 0	98,500 ------------- 0	24,477 ------------- 0	912,939 ------------- 0	0 ------------- 0
9JEFFREY POLTAWSKY PRES. MARY BRIDGE	(i) (ii)	164,682 ------------- 0	175,000 ------------- 0	1,266 ------------- 0	17,125 ------------- 0	6,583 ------------- 0	364,656 ------------- 0	0 ------------- 0
10DAVID COONS PHYSICIAN	(i) (ii)	1,375,334 ------------- 0	225,873 ------------- 0	15,434 ------------- 0	22,269 ------------- 0	23,959 ------------- 0	1,662,869 ------------- 0	12,339 ------------- 0
11SURAJ SINGH PHYSICIAN	(i) (ii)	1,437,591 ------------- 0	253,135 ------------- 0	9,346 ------------- 0	2,396 ------------- 0	25,048 ------------- 0	1,727,516 ------------- 0	0 ------------- 0
12ROB TAMURIAN PHYSICIAN	(i) (ii)	903,448 ------------- 0	115,967 ------------- 0	1,283 ------------- 0	20,278 ------------- 0	25,848 ------------- 0	1,066,824 ------------- 0	0 ------------- 0
13MASOOD NEHAL PHYSICIAN	(i) (ii)	943,348 ------------- 0	170,477 ------------- 0	10,048 ------------- 0	9,813 ------------- 0	23,461 ------------- 0	1,157,147 ------------- 0	0 ------------- 0
14JOHN HUNG PHYSICIAN	(i) (ii)	920,334 ------------- 0	140,340 ------------- 0	14,016 ------------- 0	3,479 ------------- 0	23,784 ------------- 0	1,101,953 ------------- 0	0 ------------- 0
15SHELLY MULLIN FORMER VP, FORMER KEY EMPL	(i) (ii)	280,280 ------------- 0	115,939 ------------- 0	445,732 ------------- 0	35,180 ------------- 0	6,458 ------------- 0	883,589 ------------- 0	261,183 ------------- 0
16CLAIRE SPAIN-REMY FORMER VP, FORMER KEY EMPL	(i) (ii)	0 ------------- 0	0 ------------- 0	122,965 ------------- 0	0 ------------- 0	0 ------------- 0	122,965 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	LINE 1A - THE EXECUTIVE BENEFIT ALLOWANCE IS A DISCRETIONARY SPENDING ACCOUNT AND THERE ARE NO RESTRICTIONS AS TO HOW THE FUNDS ARE TO BE SPENT. ALL VICE-PRESIDENTS, SR. VICE-PRESIDENTS AND OFFICERS, A TOTAL OF 8 REPORTED PEOPLE, RECEIVED EXECUTIVE BENEFIT ALLOWANCE IN 2018. THE PHYSICIANS ARE OFFERED A SIMILAR BENEFIT ALLOWANCE BUT THE AMOUNT IS CAPPED AT $10,000. IN 2018 THE REPORTED HIGHEST COMPENSATED EMPLOYEES, PHYSICIANS, WERE PAID BENEFIT ALLOWANCE. THEY CAN CHOOSE TO AUGMENT THEIR BENEFITS OR RECEIVE IT AS COMPENSATION PART OF TAXABLE WAGES. THE PAYMENTS WERE TAXED AND INCLUDED IN COLUMN B,(III).
PART I, LINES 4A-B	LINE 4A- IN 2018 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: CLAIRE SPAIN-REMY IN THE AMOUNT OF $122,965, LINDA CHEN IN THE AMOUNT OF $519,792 AND SHELLY MULLIN IN THE AMOUNT OF $183,154. LINE 4B - THE FOLLOWING REPORTED PEOPLE PARTICIPATED IN A 457(F) DEFERRED COMPENSATION PLAN AND RECEIVED A PAYOUT IN 2018: DAVIS COONS $12,339, CHRISTI MCCARREN $15,307, ANNA LOOMIS $18,307, SHELLY MULLIN, $261,183, LINDA CHEN, $113,740. IRC SECTION 457(F) PLANS ALLOW PARTICIPANTS TO CHOOSE FROM A NUMBER OF DIFFERENT TYPES OF BENEFITS WITH A DEFAULT SELECTION INTO A 457(F) PLAN. THE PLAN COVERS EMPLOYEES WHO ARE PRIMARILY A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THIS TYPE OF ARRANGEMENT CONTAINS A RISK OF FORFEITURE AND SOME OF THE ACCOUNTS USE A NON-COMPETE CLAUSE. THE ACCOUNTS CONTAIN A 5-YEAR CLIFF VESTING SCHEDULE AND ONCE THAT IS BEING MET THE PARTICIPANT RECEIVES 50% OF THE ACCOUNT WITH A 100% VESTING UPON AGE 62 AND 5 YEARS OF PRIOR EMPLOYMENT. THE PAYMENTS WERE TAXED AND INCLUDED IN COLUMN B,(III). SCHEDULE J, SUPPLEMENTAL INFORMATION WILLIAM G. ROBERTSON, PRESIDENT AND CEO, AND FLORENCE CHANG, EXEC.VP, EARNED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) INCOME IN THE AMOUNTS OF $526,755 AND $193,012, RESPECTIVELY, WHICH ARE REFLECTED IN COLUMN C. THE SERP PLAN HAS DEFERRALS INTO THE 457(F) CAA DEFERRED COMPENSATION PLAN. MR. ROBERTSON RECEIVED NO PAYOUTS FROM THE PLAN DURING THE YEAR AND THE PLAN IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE.
FORM 990, PART VII AND SCHEDULE J, PART III- SUPPLEMENTAL	THE REPORTABLE COMPENSATION FOR THE OFFICERS OF THE CORPORATION AND KEY EMPLOYEES IS BASED ON THE TOTAL AMOUNT PAID DURING THE YEAR FOR MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1514257, 94-3030039, 91-2004312, 46-5636491, 47-5457904), INCLUDING CURRENT YEAR PAYMENTS OF AMOUNTS REPORTED IN PRIOR YEARS AS CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS AND DEFERRED COMPENSATION PLANS, TOGETHER WITH INVESTMENT EARNINGS FROM THOSE PRIOR YEAR CONTRIBUTIONS. AS A RESULT, CERTAIN AMOUNTS HAVE BEEN REPORTED TWICE, BOTH IN PRIOR YEARS WHEN EARNED OR ACCRUED, AND AGAIN IN THE CURRENT YEAR WHEN PAID. THE AMOUNTS UNDER OTHER COMPENSATION INCLUDE DEFERRED COMPENSATION, AND THE VALUE OF MEDICAL, DENTAL, LIFE, DISABILITY INSURANCE, AND PENSION BENEFITS. COMPENSATION ON THIS TAX RETURN INCLUDES AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND MAY NOT BE PAID OUT IN THE FUTURE. THE PROCESS FOR DETERMINING EXECUTIVE COMPENSATION AT MULTICARE HEALTH SYSTEM (I) COMPLIES WITH IRS GUIDELINES FOR TAX-EXEMPT ORGANIZATIONS; (II) IS DETERMINED BY A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS WHOSE MEMBERS ARE ALL INDEPENDENT, DO NOT HAVE A CONFLICT OF INTEREST, AND ARE NON-PAID; AND (III) IS ANNUALLY EVALUATED IN THE CONTEXT OF COMPENSATION DATA GATHERED BY INDEPENDENT EXTERNAL CONSULTANTS FROM A PEER GROUP COMPRISED OF SIMILAR HIGH PERFORMING HEALTHCARE INSTITUTIONS, PRIMARILY INTEGRATED HEALTHCARE ORGANIZATIONS. COMPENSATION PAID IS DETERMINED TO BE REASONABLE AND NECESSARY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE INDEPENDENT EXTERNAL CONSULTANT. IN ADDITION, A SIGNIFICANT PORTION OF COMPENSATION IS AT RISK AND BASED ON ACHIEVEMENT OF GOALS SET BY THE BOARD OF DIRECTORS AT THE START OF EACH YEAR IN AREAS SUCH AS PATIENT SAFETY, QUALITY, WORKFORCE DEVELOPMENT, FINANCE AND OTHER MISSION-RELATED AREAS. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE IN ORDER TO ACHIEVE TOP TIER INTEGRATED CARE DELIVERY SYSTEM STATUS. THE COMPENSATION COMMITTEE ROUTINELY REVIEWS BENEFITS AND RETIREMENT PROGRAMS TO ENSURE THE PLANS ARE MARKET-BASED AND OTHERWISE CONSISTENT WITH IRS GUIDELINES. THE OFFICERS OF MULTICARE HEALTH SYSTEM, 91-1352172, ALSO FULFILL OFFICER AND EXECUTIVE FUNCTIONS FOR ITS RELATED ENTITIES. COMPENSATION DISCLOSED IS REPORTED TO THE RELATED ENTITIES TAX RETURNS IN ACCORDANCE WITH IRS REGULATIONS, BUT IS NOT CHARGED TO THE SUBSIDIARY OR AFFILIATE. AN OFFICER LISTED DEVOTES AN AVERAGE OF 60 HOURS PER WEEK TO PERFORM HIS OR HER RESPONSIBILITIES.

Schedule J (Form 990) 2018

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MULTICARE HEALTH SYSTEM

Employer identification number
91-1352172

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 AB	91-1108929	93978E3U4	05-01-2009	100,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A	91-1108929	93978E6W7	01-05-2010	105,127,578	USED TO REFUND THE WHCA SERIES 1998 ISSUED ON 08/13/1998		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2012 A	91-1108929	93978HHB4	11-13-2012	140,628,741	AUBURN AQUISITION,TG CAMPUS REFRESH,COVINGTON EMERGENCY DEPARTMENT		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2015 AB	91-1108929	93978HNH4	04-16-2015	420,539,219	REFUND THE SERIES 2004 & SERIES 2008 BONDS, CONSTRUCTION AT AUBURN & COVINGT		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 B	91-1108929	93978HTS4	11-14-2017	299,865,868	REFUND THE SERIES 2007		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 CDE	91-1108929	93978HTS3	11-14-2017	191,010,000	REFUND 2012B DEBT & ROCKWOOD ACQUISTION		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,980,000		64,820,000				11,495,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	100,000,000		105,127,578		140,628,741		420,539,219
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,032,608				1,336,000		3,145,115
8 Credit enhancement from proceeds .............	556,507		574
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	98,410,885				139,292,741		192,374,556
11 Other spent proceeds .............	299,865,868		105,127,004				225,019,548
12 Other unspent proceeds .............
13 Year of substantial completion .............	2010		2010		2013		2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X	X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.180 %		0 %		0.070 %		3.500 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.180 %		0 %		0.070 %		3.500 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K, PART IV, LINE 2C

FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2009 A,B MULTICARE HEALTH SYSTEM ENGAGED RITZ & ASSOCIATES PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE REBATE CALCULATION ON 05/03/2019 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS.

SCHEDULE K, PART I, COLUMN C

THE FOLLOWING CUSIPS WERE ISSUED FOR THE FOLLOWING BOND SERIES: $48,145,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2009A MATURITY/CUSIP 8/15/2044/ 93978HET8 $49,985,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2009B MATURITY/CUSIP 8/15/2040/ 93978HEU5 8/15/2041/ 93978HEV3 8/15/2042/ 93978HEW1 8/15/2043/ 93978HEX9 8/15/2044/ 93978HEY7 $100,150,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2010A MATURITY/CUSIP 8/15/2018/ 93978E6S6 8/15/2019/ 93978E6T4 8/15/2020/ 93978E6U1 8/15/2021/ 93978E6V9 8/15/2022/ 93978E6W7 $60,000,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2012A MATURITY/CUSIP 8/15/2042/ 93978HHB4 8/15/2046/ 93978HHA6 $87,710,000 ISSUER BOND DESCRIPTION MULTICARE HEALTH SYSTEM SERIES 2015A MATURITY/CUSIP 8/15/2018/ 93978HMN2 8/15/2019/ 93978HMP7 8/15/2020/ 93978HMQ5 8/15/2021/ 93978HMR3 8/15/2022/ 93978HMS1 8/15/2023/ 93978HMT9 8/15/2024/ 93978HMU6 8/15/2025/ 93978HMV4 8/15/2026/ 93978HMW2 8/15/2027/ 93978HMX0 8/15/2028/ 93978HMY8 8/15/2029/ 93978HMZ5 8/15/2030/ 93978HNA9 8/15/2031/ 93978HNB7 8/15/2032/ 93978HNC5 8/15/2033/ 93978HND3 8/15/2034/ 93978HNE1 8/15/2035/ 93978HNF8 8/15/2040/ 93978HNG6 8/15/2045/ 93978HNH4 $285,680,000 ISSUER REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2015B MATURITY/CUSIP 8/15/2018/ 93978HNM3 8/15/2019/ 93978HNN1 8/15/2020/ 93978HNP6 8/15/2021/ 93978HNQ4 8/15/2022/ 93978HNR2 8/15/2023/ 93978HNS0 8/15/2024/ 93978HNT8 8/15/2025/ 93978HNU5 8/15/2026/ 93978HNV3 8/15/2027/ 93978HNW1 8/15/2028/ 93978HNX9 8/15/2029/ 93978HNY7 8/15/2030/ 93978HNZ4 8/15/2031/ 93978HPA7 8/15/2032/ 93978HPB5 8/15/2033/ 93978HPC3 8/15/2034/ 93978HPD1 8/15/2035/ 93978HPE9 8/15/2039/ 93978HPF6 8/15/2043/ 93978HPG4

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MULTICARE HEALTH SYSTEM

Employer identification number
91-1352172

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 AB	91-1108929	93978E3U4	05-01-2009	100,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A	91-1108929	93978E6W7	01-05-2010	105,127,578	USED TO REFUND THE WHCA SERIES 1998 ISSUED ON 08/13/1998		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2012 A	91-1108929	93978HHB4	11-13-2012	140,628,741	AUBURN AQUISITION,TG CAMPUS REFRESH,COVINGTON EMERGENCY DEPARTMENT		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2015 AB	91-1108929	93978HNH4	04-16-2015	420,539,219	REFUND THE SERIES 2004 & SERIES 2008 BONDS, CONSTRUCTION AT AUBURN & COVINGT		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 B	91-1108929	93978HTS4	11-14-2017	299,865,868	REFUND THE SERIES 2007		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 CDE	91-1108929	93978HTS3	11-14-2017	191,010,000	REFUND 2012B DEBT & ROCKWOOD ACQUISTION		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,980,000		64,820,000				11,495,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	100,000,000		105,127,578		140,628,741		420,539,219
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,032,608				1,336,000		3,145,115
8 Credit enhancement from proceeds .............	556,507		574
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	98,410,885				139,292,741		192,374,556
11 Other spent proceeds .............	299,865,868		105,127,004				225,019,548
12 Other unspent proceeds .............
13 Year of substantial completion .............	2010		2010		2013		2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X	X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.180 %		0 %		0.070 %		3.500 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.180 %		0 %		0.070 %		3.500 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K, PART IV, LINE 2C

SCHEDULE K, PART I, COLUMN C

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CAROLINE RUTTER MD	FAMILY OF DIRECTOR	599,403	EMPLOYEE OF MULTICARE HEALTH SYSTEM		No
(2) RICKY ROTH	FAMILY OF DIRECTOR	30,446	EMPLOYEE OF MULTICARE HEALTH SYSTEM		No
(3) RACHEL ROTH	FAMILY OF DIRECTOR	35,875	EMPLOYEE OF MULTICARE HEALTH SYSTEM		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	JANINE TERRANO AND JOHN FOLSOM HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE MULTICARE HEALTH SYSTEM (MHS) FORM 990 IS PREPARED BY INTERNAL STAFF AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. INITIAL REVIEWS WERE PERFORMED BY LEVELS OF MANAGEMENT IN VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION, INCLUDING THE CHIEF EXECUTIVE OFFICER, AND THE CHIEF FINANCIAL OFFICER. A REVIEW WAS THEN PERFORMED BY THE FINANCE AND AUDIT COMMITTEE OF THE BOARD, AND INCLUDED A PRESENTATION BY THE OUTSIDE ACCOUNTING FIRM. LASTLY, A COPY OF THE FINAL FORMS 990S FOR MHS AND THE FOUR MULTICARE FOUNDATIONS, INCLUDING ALL REQUIRED SCHEDULES, WERE PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW, PRIOR TO ITS FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE BOARD OF DIRECTORS HAS ACCOUNTABILITY FOR OVERSIGHT OF THE PROCESS FOR DISCLOSURE, EVALUATION, AND MANAGEMENT OF CONFLICTS OF INTEREST INVOLVING ANY DIRECTOR ON THE BOARD, EXECUTIVE LEADERSHIP, OR KEY EMPLOYEE. IN ACCORDANCE WITH THE CONFLICTS OF INTEREST POLICY, THESE INDIVIDUALS ARE REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY, AND HAVE AN ONGOING OBLIGATION TO UPDATE THE DISCLOSURE IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. THE CONFLICTS OF INTEREST QUESTIONNAIRE INCLUDES A STATEMENT THAT THE PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT FURTHER ITS TAX EXEMPT PURPOSES. WRITTEN DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER, AND IN CERTAIN CIRCUMSTANCES, THERE IS FURTHER REVIEW BY THE GENERAL COUNSEL AND THE MEMBER. NO PERSON WITH A CONFLICT OF INTEREST PARTICIPATES IN AN ACTIVITY RELATED TO THE CONFLICT OF INTEREST UNLESS DISCLOSED, RESOLVED, AND PERMITTED IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. CONFLICTS OF INTEREST ARE DOCUMENTED.
FORM 990, PART VI, SECTION B, LINE 15	A-B: PROCESS USED TO DETERMINE COMPENSATION OF CEO THE BOARD, THROUGH ITS COMPENSATION COMMITTEE CONSISTING OF INDEPENDENT, NON-PAID, BOARD MEMBERS, IS ACCOUNTABLE FOR ENSURING AND APPROVING A REASONABLE TOTAL COMPENSATION PACKAGE, CONSISTENT WITH ITS COMPENSATION PHILOSOPHY, FOR THE CEO FOR HIS MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1514257, 94-3030039, 91-2004312, 46-5636491, 91-1111928). THE COMPENSATION COMMITTEE DIRECTS THE DEVELOPMENT AND IT APPROVES ANNUAL GOALS AND PERFORMANCE CRITERIA THAT ARE USED TO DETERMINE VARIABLE COMPENSATION OPPORTUNITIES FOR THE CEO. THE COMPENSATION COMMITTEE ASSESSES PERFORMANCE AGAINST THESE GOALS AND PERFORMANCE CRITERIA, WHICH INCLUDE IMPROVING PATIENT CARE, CARE ACCESS TO THE UNDERSERVED, CLINICAL OUTCOMES, AND PATIENT SAFETY, AS WELL AS EARNING AN OPERATING MARGIN TO ENABLE INVESTMENT IN PEOPLE, TECHNOLOGY, AND FACILITIES. THE COMPENSATION COMMITTEE SELECTS AND ENGAGES A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT EACH YEAR TO REVIEW AND ANALYZE THE TOTAL COMPENSATION PACKAGE FOR ALIGNMENT WITH APPROPRIATE PRACTICES FOR SIMILAR NOT-FOR-PROFIT HEALTHCARE SYSTEMS. THE COMPENSATION COMMITTEE, AS PART OF ITS ANALYSIS, OBTAINS FROM THE INDEPENDENT COMPENSATION CONSULTANT APPROPRIATE COMPARABILITY DATA, INCLUDING TOTAL COMPENSATION PAID BY SIMILARLY SITUATED NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE. THE COMPENSATION DELIBERATION AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE LAST TIME THIS PROCESS WAS UNDERTAKEN WAS 2018.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO INCLUDED AS PART OF THE FORM 990.
FORM 990, PART IX, LINE 11G	PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 248,584,866. MANAGEMENT AND GENERAL EXPENSES 33,668,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 282,253,812.
FORM 990, PART XI, LINE 9:	CHANGES IN ACCRUED PENSION ASSET -14,172,310. TRANSFER ROCKWOOD CLINIC UPON DISSOLUTION ON MARCH 1ST 2018 -19,702,419. NAVOS TRANSFER OF ASSETS -2,013,038. FOUNDATIONS TRANSFER OF ASSETS -283,970.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MULTICARE CONNECTED CARE LLC 222 N J ST STE B TACOMA,WA98403 47-2859356	HEALTHCARE ACO	WA	0	0	MULTICARE HEALTH SYSTEM
(2) NORTHSTAR PROPERTY ACQUISITIONS LLC 4720 MONTGOMERY LANE STE 1000 BETHESDA,MD20814 82-1517201	REAL PROPERTY ACQUISITION	WA	0	0	MULTICARE HEALTH SYSTEM

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)MULTICARE HEALTH FOUNDATION 409 S J STREET TACOMA,WA98405 91-1514257	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes
(2)MARY BRIDGE CHILDREN'S FOUNDATION 409 S J STREET TACOMA,WA98405 94-3030039	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes
(3)GOOD SAMARITAN FOUNDATION 402 15TH AVE SE SUITE 101 PUYALLUP,WA98372 91-2004312	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes
(4)MULTICARE SOUTH KING HEALTH FOUNDATION 737 FAWCETT AVE TACOMA,WA98402 46-5636491	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes
(5)CHVI PROFESSIONAL CORPORATION 222 N J STREET TACOMA,WA98403 47-5457904	HOSPITAL	WA	501(C)(3)	LINE 3	MULTICARE HEALTH SYSTEM	Yes
(6)NAVOS PO BOX 46420 SEATTLE,WA98126 91-0848698	HOSPITAL	WA	501(C)(3)	LINE 3	MULTICARE HEALTH SYSTEM	Yes
(7)NAVOS MULTI-TREATMENT CENTER PO BOX 46420 SEATTLE,WA98126 45-4031562	SUPPORTING ORGANIZATION	WA	501(C)(3)	LINE 12A-I	MULTICARE HEALTH SYSTEM	Yes
(8)MULTICARE REHABILITATION SPECIALISTS PS 315 MARTIN LUTHER KING JR WAY TACOMA,WA98405 82-2949880	REHABILITATION	WA	501(C)(3)	LINE 10	MULTICARE HEALTH SYSTEM	Yes
(9)GREATER LAKES MENTAL HEALTHCARE 9330 59TH AVE SW LAKEWOOD,WA98499 91-6064184	HOSPITAL	WA	501(C)(3)	LINE 3	MULTICARE HEALTH SYSTEM	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) REDICLINIC OF WALLC 9 E GREENWAY PLAZA STE 2950 HOUSTON,TX77046 47-1808980	HEALTHCARE	TX	MULTICARE HEALTH SYSTEM	RELATED	-3,122,598	-248,569		No			No	51.000 %
(2) OLYMPIC SPORTS & SPINE PLLC 6050 TACOMA MALL BLVD TACOMA,WA98409 82-2950138	HEALTHCARE SERVICES	WA	MULTICARE HEALTH SYSTEM	RELATED	-1,557,073	3,250,456		No		Yes		68.000 %
(3) AUBURN IMAGING PARTNERS PO BOX 26730 FEDERAL WAY,WA98093 20-2539907	HEALTHCARE SERVICES	WA	MULTICARE HEALTH SYSTEM	RELATED	-35,857	676,207		No		Yes		80.000 %
(4) VP SURGERY OF AUBURN 1002 15TH AVE SW STE 215 AUBURN,WA98001 37-1668651	HEALTHCARE SERVICES	WA	MULTICARE HEALTH SYSTEM	RELATED				No		Yes		50.100 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) MEDIS CORPORATION 315 S K STREET TACOMA,WA98405 91-1111928	MEDICAL BUILDING RENTAL	WA	MULTICARE HEALTH SYSTEM	C	1,427,181	1,548,848	100.000 %	Yes
(2) ROCKWOOD CLINIC PS 800 WEST FIFTH AVE SPOKANE,WA99204 91-1352993	HEALTHCARE SERVICES	WA	MULTICARE HEALTH SYSTEM	C	53,237,077	79,409,915	100.000 %	Yes

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MULTICARE HEALTH FOUNDATION	B	1,711,555	ACCRUAL
(2) MARY BRIDGE CHILDREN'S FOUNDATION	B	3,688,730	ACCRUAL
(3) GOOD SAMARITAN FOUNDATION	B	1,639,736	ACCRUAL
(4) MULTICARE SOUTH KING HEALTH FOUNDATION	B	734,129	ACCRUAL
(5) MULTICARE HEALTH FOUNDATION	C	2,739,892	ACCRUAL
(6) MARY BRIDGE CHILDREN'S FOUNDATION	C	7,103,204	ACCRUAL
(7) GOOD SAMARITAN FOUNDATION	C	1,292,162	ACCRUAL
(8) MEDIS CORPORATION	K	787,503	ACCRUAL
(9) CHVI PROFESSIONAL CORPORATION	P	34,375,897	ACCRUAL
(10) MULTICARE HEALTH FOUNDATION	Q	828,111	ACCRUAL
(11) MARY BRIDGE CHILDREN'S FOUNDATION	Q	1,952,134	ACCRUAL
(12) GOOD SAMARITAN FOUNDATION	Q	833,643	ACCRUAL
(13) MULTICARE SOUTH KING HEALTH FOUNDATION	Q	421,373	ACCRUAL
(14) MEDIS CORPORATION	Q	448,365	ACCRUAL

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	16,611
6	Total number of volunteers (estimate if necessary) .............	6	3,119
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	388,549
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	36,335,669	38,987,235
9	Program service revenue (Part VIII, line 2g) .........	2,273,761,246	2,827,677,265
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	55,356,851	63,976,911
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-407,681	-441,864
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,365,046,085	2,930,199,547
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	8,430,980	8,519,150
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,210,628,090	1,496,280,065
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	976,790,887	1,248,653,973
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,195,849,957	2,753,453,188
19	Revenue less expenses. Subtract line 18 from line 12.......	169,196,128	176,746,359
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,302,485,808	4,353,484,139
21	Total liabilities (Part X, line 26).............	1,874,458,574	1,923,308,315
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,428,027,234	2,430,175,824

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,865,514,936 including grants of $ 8,519,150 ) (Revenue $ 2,250,281,063 )
	MULTICARE HEALTH SYSTEM (MHS) IS THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTHCARE TAX-EXEMPT ORGANIZATION IN THE STATE OF WASHINGTON. MHS OPERATES EIGHT COMMUNITY BASED HOSPITALS WITH 1,706 LICENSED ADULT BEDS AND 82 LICENSED PEDIATRIC BEDS. DURING 2018 MHS HOSPITALS ADMITTED 66,675 PATIENTS FOR A TOTAL OF 342,612 PATIENT DAYS, PERFORMED 51,154 SURGERIES AND DELIVERED 8,645 BABIES. THERE WERE 12,921 NEWBORN DAYS DURING 2018. THEY ALSO PROVIDED CARE FOR 307,578 OUTPATIENT VISITS AND 375,510 EMERGENCY ROOM VISITS, OF WHICH 1,462 WERE TRAUMA PATIENTS. IN ADDITION, MHS, THROUGH THE COMMUNITY PARTNERSHIP FUND SUPPORTS ORGANIZATIONS WHOSE WORK IS IMPORTANT TO THE HEALTH OF THE COMMUNITIES IT SERVES IN PUGET SOUND AND EASTERN WA.(SEE SCHEDULE O) IN 2018 MHS PROVIDED 87 GRANTS TO COMMUNITY ORGANIZATIONS.

4b	(Code: ) (Expenses $ 399,652,237 including grants of $ ) (Revenue $ 432,442,611 )
	MULTICARE HEALTH SYSTEM OPERATES A SYSTEM OF MULTI-SPECIALTY CLINICS, A GRID OF HIGHLY SPECIALIZED URGENT CARE CENTERS (INDIGO), 7-DAYS/WEEK NEIGHBORHOOD WALK-IN FRIENDLY URGENT CARE CENTERS (IMMEDIATE), ALL THROUGHOUT PIERCE, KING, THURNSTON, KITSAP AND SNOHOMISH COUNTIES AND THROUGH THE ACQUISITION OF THE ROCKWOOD CLINIC, MULTICARE OFFERS THE LARGEST OUTPATIENT DIAGNOSTIC AND TREATMENT CENTER IN THE EASTERN WA REGION.IN 2018 THE INDIGO/IMMEDIATE/MULTICARE URGENT CARE CENTERS AND ROCKWOOD CLINICS PROVIDED 536,320 CLINIC VISITS AND PERFORMED SPECIALIST SURGERIES AS FOLLOWS: PEDIATRIC, GENERAL, NEUROLOGIC, VASCULAR, SPINE, ORTHOPEDIC, GENERAL BREAST, PEDIATRIC ORTHOPEDIC, CARDIOTHORACIC, GENERAL BARIATRIC, COLORECTAL, PEDIATRIC NEUROSURGERY.(SEE SCHEDULE O)DURING 2018 THE MULTI-SPECIALTY CLINICS PROVIDED CARE FOR 133,610 OUTPATIENTS VISITS AND 70,102 PHYSICIAN VISISTS, AND PROCESSED 200,306 LABORATORY WORKLOAD UNITS, 29,197 IMAGING RELATIVE UNITS, 148,375 ONCOLOGY RELATIVE VALUE UNITS, 10,376 THERAPY VALUE UNITS AND 1,157 PHARMACY WORKLOAD UNITS.

4c	(Code: ) (Expenses $ 112,150,626 including grants of $ ) (Revenue $ 79,874,767 )
	MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE AND SOUTH KING COUNTIES. THESE PRACTICES PROVIDED 457,470 PATIENT VISITS DURING 2018.

	(Code: ) (Expenses $ 60,771,123 including grants of $ ) (Revenue $ 64,690,275 )
	MULTICARE HEALTH SYSTEM'S OTHER PROGRAMS INCLUDE BEHAVIORAL HEALTH, HOME HEALTH SERVICES AND HOSPICE, ADULT DAY HEALTH AND PSYCHOLOGY CHILDREN'S THERAPY UNIT. DURING 2018 THE CLINICS PROVIDED 48,200 HOME HEALTH VISITS, THE HOME HEALTH AND HOSPICE PROGRAMS ADMITTED 3,500 AND 1,499 PATIENTS, RESPECTIVELY. MULTICARE GOOD SAMARITAN CHILDREN'S THERAPY UNIT (CTU) HELPS INFANTS, CHILDREN AND ADOLESCENTS WHO HAVE SPECIAL NEEDS. IN 2018 CTU SERVED 649 PATIENTS. MULTICARE BEHAVIORAL HEALTH SERVICES (BHS) OFFERS A FULL RANGE OF SERVICES AND AN INTEGRATED APPROACH TO WELLNESS. IN 2018 BHS SERVED 11,496 CLIENTS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 60,771,123 including grants of $ ) (Revenue $ 64,690,275 )
4e	Total program service expenses2,438,088,922

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) JEFFREY POLTAWSKY........................................................................ PRES. MARY BRIDGE	60.00 .......................0.00	X			340,948	0	23,708
(19) DAVID COONS........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,616,641	0	46,228
(20) SURAJ SINGH........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,700,072	0	27,444
(21) ROB TAMURIAN........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,020,698	0	46,126
(22) MASOOD NEHAL........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,123,873	0	33,274
(23) JOHN HUNG........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,074,690	0	27,263
(24) SHELLY MULLIN........................................................................ FORMER VP, FORMER KEY EMPL	50.00 .......................0.00			X	841,951	0	41,638
(25) CLAIRE SPAIN-REMY........................................................................ FORMER VP, FORMER KEY EMPL	0.00 .......................0.00			X	122,965	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	15,139,735	0	1,428,574

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	11,169,253
e	Government grants (contributions)		1e	27,817,982

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		38,987,235

		Business Code
2a	HEALTHCARE SERVICES	622110	2,268,963,979	2,268,699,601	264,378
b	AMBULATORY SRVS & UCC	621493	428,551,090	428,426,919	124,171
c	OFFICES OF PHYSICIANS	621111	79,848,212	79,848,212
d	HOME HEALTH	621610	31,560,253	31,560,253
e	OUTPATIENT MENTAL HLTH	621420	11,408,424	11,408,424
f	All other program service revenue.		7,345,307	7,345,307
g	Total. Add lines 2a–2f ....		2,827,677,265

3 Investment income (including dividends, interest, and othersimilar amounts) ......			26,766,178			26,766,178
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		37,210,733
b	Less: cost or other basis and sales expenses		0
c	Gain or (loss)		37,210,733
d	Net gain or (loss).....			37,210,733			37,210,733
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a		850,959
b	Less: cost of goods sold ..b		1,292,823
c	Net income or (loss) from sales of inventory..			-441,864			-441,864
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			2,930,199,547	2,827,288,716	388,549	63,535,047

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	8,519,150	8,519,150
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	8,845,446	7,790,308	1,055,138
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	665,724	665,724
7	Other salaries and wages	1,288,462,854	1,133,632,642	154,830,212
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	41,280,557	36,356,362	4,924,195
9	Other employee benefits .......	76,445,053	67,326,224	9,118,829
10	Payroll taxes ...........	80,580,431	70,078,036	10,502,395
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	4,489,495	397,129	4,092,366
c	Accounting ...........	631,988	1,088	630,900
d	Lobbying ...........	329,090		329,090
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	282,253,812	248,584,866	33,668,946
12	Advertising and promotion ....	5,826,935	3,842,904	1,984,031
13	Office expenses .......	13,068,405	11,509,526	1,558,879
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	52,059,409	45,849,447	6,209,962
17	Travel ............	9,893,510	5,464,588	4,428,922
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	163,064	119,538	43,526
19	Conferences, conventions, and meetings ....
20	Interest ...........	41,280,276	36,356,114	4,924,162
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	146,287,662	128,837,583	17,450,079
23	Insurance ...	27,007,643	23,786,008	3,221,635
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES	455,566,167	442,485,799	13,080,368
b	PROVISION FOR BAD DEBTS	53,676,629	53,676,629
c	WA HOSP. SAFETY NET PRO	50,957,224	50,957,224
d	LICENSES	39,592,523	6,245,759	33,346,764
e	All other expenses	65,570,141	55,606,274	9,963,867
25	Total functional expenses. Add lines 1 through 24e	2,753,453,188	2,438,088,922	315,364,266	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			357,444,178	2	370,871,294
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			362,510,903	4	396,601,403
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			34,234,939	8	43,261,791
9	Prepaid expenses and deferred charges ......			29,997,355	9	27,945,800
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,128,549,517
b	Less: accumulated depreciation	10b	1,419,425,660	1,615,007,143	10c	1,709,123,857
11	Investments—publicly traded securities .			1,452,694,844	11	1,181,678,148
12	Investments—other securities. See Part IV, line 11 .....			170,205,982	12	309,038,000
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			280,390,464	15	314,963,846
16	Total assets. Add lines 1 through 15 (must equal line 34)...			4,302,485,808	16	4,353,484,139

17	Accounts payable and accrued expenses .....	354,386,889	17	387,408,901
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	1,287,092,589	20	1,266,586,741
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	132,831	24	67,582
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	232,846,265	25	269,245,091
26	Total liabilities. Add lines 17 through 25..	1,874,458,574	26	1,923,308,315

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	2,428,027,234	27	2,430,175,824
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	2,428,027,234	33	2,430,175,824
34	Total liabilities and net assets/fund balances ........	4,302,485,808	34	4,353,484,139